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Research ArticleLumbar Spine

The H Laminectomy: Technical Description and Clinical Experience From the First 85 Patients

Ram Haddas and Akwasi Boah
International Journal of Spine Surgery February 2023, 17 (1) 69-75; DOI: https://doi.org/10.14444/8383
Ram Haddas
1 University of Rochester Medical Center, Rochester, NY, USA
PHD, MBA
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  • For correspondence: Ram_Haddas@urmc.rochester.edu
Akwasi Boah
2 Texas Back Institute, Plano, TX, USA
MD
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  • Article
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Article Figures & Data

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  • Figure 1
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    Figure 1

    The BoneScalpel (Misonix) with 25-mm blade (to make laminectomy troughs).

  • Figure 2
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    Figure 2

    The BoneScalpel (Misonix) with hook shaver (widen laminectomy if needed).

  • Figure 3
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    Figure 3

    Division of the proximal and distal interspinous ligament with the Bovie.

  • Figure 4
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    Figure 4

    Removal of spinous process/superficial lamina.

  • Figure 5
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    Figure 5

    (A) Initial “H laminectomy” troughs. (B) Initial “H laminectomy” troughs seen in transverse orientation.

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    Figure 6

    Elevation of the inferior (caudal) laminar with a curved osteotome.

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    Figure 7

    Removal of the superior portions of the remaining lamina.

  • Figure 8
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    Figure 8

    Completion of laminectomy.

Tables

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    Table

    The primary diagnosis of study patients for indications for H laminectomy (N = 85).

    Primary Diagnosis n
    Degenerative laminectomy without fusion36
    Degenerative laminectomy with fusion27
    Trauma8
    Revision laminectomy with fusion6
    Metastatic tumor4
    Epidural abscess2
    Revision laminectomy without fusion1
    Cord untethering1
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International Journal of Spine Surgery
Vol. 17, Issue 1
1 Feb 2023
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The H Laminectomy: Technical Description and Clinical Experience From the First 85 Patients
Ram Haddas, Akwasi Boah
International Journal of Spine Surgery Feb 2023, 17 (1) 69-75; DOI: 10.14444/8383

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The H Laminectomy: Technical Description and Clinical Experience From the First 85 Patients
Ram Haddas, Akwasi Boah
International Journal of Spine Surgery Feb 2023, 17 (1) 69-75; DOI: 10.14444/8383
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Keywords

  • laminectomy
  • ultrasonic scalpel
  • spine surgery
  • osteotomy
  • safety
  • dural injury

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