Laminectomy complications [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Laminectomy complications ======

[[Laminectomy wound infection]].

[[Epidural fibrosis]] and [[epidural]] adhesion after [[laminectomy]] are developed from adjacent dense [[scar]] tissue, which is a natural [[wound healing]] process
((Alkalay RN, Kim DH, Urry DW, Xu J, Parker TM, Glazer PA. Prevention of postlaminectomy epidural fibrosis using bioelastic materials. Spine (Phila Pa 1976) 2003;28:1659–1665.))
((Hsu CJ, Chou WY, Teng HP, Chang WN, Chou YJ. Coralline hydroxyapatite and laminectomy-derived bone as adjuvant graft material for lumbar posterolateral fusion. J Neurosurg Spine. 2005;3:271–275.))
((Temel SG, Ozturk C, Temiz A, Ersozlu S, Aydinli U. A new material for prevention of epidural fibrosis after laminectomy: oxidized regenerated cellulose (interceed), an absorbable barrier. J Spinal Disord Tech. 2006;19:270–275.))
((Yu CH, Lee JH, Baek HR, Nam H. The effectiveness of poloxamer 407-based new anti-adhesive material in a laminectomy model in rats. Eur Spine J. 2012;21:971–979.))
, 
and ranked as the major contributor for [[postoperative pain]] recurrence after laminectomy or [[discectomy]].
----
Posterior midline laminectomy is associated with risks of postoperative instability, [[spinal deformity]], extensive bilateral subperiosteal muscle stripping, partial or total [[facetectomy]] especially in foraminal tumor extension, increased [[cerebrospinal fluid leakage]], and [[wound infection]]. Minimally invasive approaches with the help of a microscope or endoscope using [[hemilaminectomy]] have been found to be safe and effective
((Parihar VS, Yadav N, Yadav YR, Ratre S, Bajaj J, Kher Y. Endoscopic Management
of Spinal Intradural Extramedullary Tumors. J Neurol Surg A Cent Eur Neurosurg.
2016 Dec 12. [Epub ahead of print] PubMed PMID: 27951615.
)).