Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment
Laminectomy can be accomplished using the craniotome with a footplate attachment, and the technique has been advanced as a superior alternative to using a high-speed drill-driven burr and Kerrison rongeurs. Laminectomy can be accomplished more rapidly and with less bone destruction, an advantage whe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184105/ https://www.ncbi.nlm.nih.gov/pubmed/34113510 http://dx.doi.org/10.7759/cureus.14893 |
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author | Houten, John K Harter, David H Schwartz, Amit Y |
author_facet | Houten, John K Harter, David H Schwartz, Amit Y |
author_sort | Houten, John K |
collection | PubMed |
description | Laminectomy can be accomplished using the craniotome with a footplate attachment, and the technique has been advanced as a superior alternative to using a high-speed drill-driven burr and Kerrison rongeurs. Laminectomy can be accomplished more rapidly and with less bone destruction, an advantage when planning laminoplasty. There is, however, scant literature describing complications of dural laceration using this technique. A 48-year-old male underwent T7-10 laminectomy for resection of an intramedullary spinal cord tumor. During the upward cut of the hemi-lamina at T7-9, a dural laceration occurred that proved not amenable to direct suture closure. The dural was closed with a dural patch placed along the inner surface of the dura and a fat graft on the outer surface with adjunctive use of a lumbar drain. While the footplate laminectomy technique has merits touted in prior publications, including the ability to open the spinal canal quickly at numerous levels and an enhanced ability to achieve an osteoplastic laminoplasty, surgeons should be cognizant of the risk of associated dural laceration. We believe that it is important to emphasize that the initial placement of the lip of the footplate must be well-seated under the inferior aspect of the lowest lamina and over the ligamentum flavum and that the footplate should not be directed beyond the border of the laminae and facet, as this can result in dura and root injury. |
format | Online Article Text |
id | pubmed-8184105 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-81841052021-06-09 Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment Houten, John K Harter, David H Schwartz, Amit Y Cureus Neurosurgery Laminectomy can be accomplished using the craniotome with a footplate attachment, and the technique has been advanced as a superior alternative to using a high-speed drill-driven burr and Kerrison rongeurs. Laminectomy can be accomplished more rapidly and with less bone destruction, an advantage when planning laminoplasty. There is, however, scant literature describing complications of dural laceration using this technique. A 48-year-old male underwent T7-10 laminectomy for resection of an intramedullary spinal cord tumor. During the upward cut of the hemi-lamina at T7-9, a dural laceration occurred that proved not amenable to direct suture closure. The dural was closed with a dural patch placed along the inner surface of the dura and a fat graft on the outer surface with adjunctive use of a lumbar drain. While the footplate laminectomy technique has merits touted in prior publications, including the ability to open the spinal canal quickly at numerous levels and an enhanced ability to achieve an osteoplastic laminoplasty, surgeons should be cognizant of the risk of associated dural laceration. We believe that it is important to emphasize that the initial placement of the lip of the footplate must be well-seated under the inferior aspect of the lowest lamina and over the ligamentum flavum and that the footplate should not be directed beyond the border of the laminae and facet, as this can result in dura and root injury. Cureus 2021-05-07 /pmc/articles/PMC8184105/ /pubmed/34113510 http://dx.doi.org/10.7759/cureus.14893 Text en Copyright © 2021, Houten et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurosurgery Houten, John K Harter, David H Schwartz, Amit Y Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title | Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title_full | Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title_fullStr | Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title_full_unstemmed | Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title_short | Dural Tear During Thoracic Laminectomy Using Craniotome With Footplate Attachment |
title_sort | dural tear during thoracic laminectomy using craniotome with footplate attachment |
topic | Neurosurgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184105/ https://www.ncbi.nlm.nih.gov/pubmed/34113510 http://dx.doi.org/10.7759/cureus.14893 |
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