Posterior Cervical Laminectomy 1 Fusion

Cervical stenosis can place pressure on the spinal cord. If most of the compression is in the back, the cervical stenosis can be treated with a posterior cervical laminectomy.

The objective of this procedure is to remove the lamina (and spinous process) to give the spinal cord more room.

What Occurs during Posterior Cervical Laminectomy?

The general procedure for a cervical laminectomy includes the following:

  1. Surgical approach.
    • The skin incision is in the midline of the back of the neck and is about 3 to 4 inches long.
    • The para-spinal muscles are then elevated from multiple levels.
  2. Removal of the lamina.
    • A high speed burr can be used to make a trough in the lamina on both sides right before it joins the facet joint.
    • The lamina with the spinous process can then be removed as one piece (like a lobster tail).
    • Removal of the lamina and spinous process allows the spinal cord to float backwards and gives it more room.

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