Laminoplasty

Synonyms
Laminoplasty

Laminoplasty involves enlarging the spinal canal by cutting through the vertebral arches, which are opened like a hinge and subsequently refixed. This improves the available space within the spinal canal. Unlike a Laminectomy, the vertebral arch is thus preserved. Laminoplasty can be performed using various techniques[^1] [^2].

Open-door laminoplasty

In open-door or single-door laminoplasty, the lamina is opened on one side, while the contralateral side serves as the hinge.

Open-door laminoplasty
Schematic illustration of an open-door laminoplasty. Figure adapted from Dimar et al.

French-door laminoplasty

In French-door or T-saw laminoplasty, the opening is made in the midline, and both sides serve as hinges.

French-door laminoplasty
Schematic representation of a French-door laminoplasty. Figure adapted from Patel et al.

Z-plasty laminoplasty

In Z-plasty laminotomy, the sides are alternated at each segment.

Z-laminoplasty
Illustration of various Z-laminoplasty techniques. Figure adapted from Vu et al. (DOI: 10.26502/fjsrs0016)

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