caa a22 4500 606215263 CHVBK 20210128101058.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00701-015-2549-7 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2549-7 Bilateral spinal canal decompression via hemilaminectomy in cervical spondylotic myelopathy [Elektronische Daten] [Dorothee Mielke, Veit Rohde] Background: In cervical spondylotic myelopathy (CSM), laminoplasty (LP) or laminectomy plus fusion (LF) are accepted operative options and alternatives to anterior approaches. Both LP and LF have distinctive disadvantages, which might be avoided by unilateral hemilaminectomy and bilateral decompression of the spinal cord. Methods: Description of the surgical technique, indications, and limitations. The potential advantages in comparison to LP and LF are discussed. Conclusions: Unilateral hemilaminectomy allows bilateral decompression of the whole dorsal circumference of spinal cord from nerve root to nerve root. The potential major advantages are a reduction of invasiveness by only unilateral muscle detachment, avoidance of implants, and shorter operation times. Springer-Verlag Wien, 2015 Cervical spine nationallicence Cervical spondylotic myelopathy nationallicence Spinal canal stenosis nationallicence Decompression nationallicence Hemilaminectomy nationallicence Bilateral decompression nationallicence Mielke Dorothee Department of Neurosurgery, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany aut Rohde Veit Department of Neurosurgery, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany aut Acta Neurochirurgica Springer Vienna 157/10(2015-10-01), 1813-1817 0001-6268 157:10<1813 2015 157 701 https://doi.org/10.1007/s00701-015-2549-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2549-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mielke Dorothee Department of Neurosurgery, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany aut NATIONALLICENCE 700 1- Rohde Veit Department of Neurosurgery, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/10(2015-10-01), 1813-1817 0001-6268 157:10<1813 2015 157 701