TY - JOUR
T1 - The ABC's of Spinal Decompression
T2 - Pearls and Technical Notes
AU - Ramey, Wyatt L.
AU - Altafulla, Juan
AU - Yilmaz, Emre
AU - Ishak, Basem
AU - Jack, Andrew
AU - Litvack, Zachary N.
AU - Oskouian, Rod J.
AU - Tubbs, R. Shane
AU - Chapman, Jens R.
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/9
Y1 - 2019/9
N2 - Objective: The foundation of spine surgery centers on the proper identification, decompression, and stabilization of bony and neural elements. We describe easily reproducible and reliable methods for optimal decompression and release of neural structures to alleviate symptoms and improve patients' quality of life. Methods: Multiple spinal decompression techniques were described in procedures for which the goal of surgery was decompression alone or decompression and fusion. Eight fundamental techniques were described: inverted U-cut, J-cut, T-cut, L-cut, Z-cut, I-track cuts, C-cut, and O-cut. Results: These foundational cuts may be combined, as needed, to develop an individually tailored approach to the patient's pathology. Conclusions: After properly identifying the anatomic structures, each of these techniques provides a consistent, reproducible, and efficient means to decompress the spine under various circumstances. These techniques provide surgical trainees with a framework for approaching surgical decompression.
AB - Objective: The foundation of spine surgery centers on the proper identification, decompression, and stabilization of bony and neural elements. We describe easily reproducible and reliable methods for optimal decompression and release of neural structures to alleviate symptoms and improve patients' quality of life. Methods: Multiple spinal decompression techniques were described in procedures for which the goal of surgery was decompression alone or decompression and fusion. Eight fundamental techniques were described: inverted U-cut, J-cut, T-cut, L-cut, Z-cut, I-track cuts, C-cut, and O-cut. Results: These foundational cuts may be combined, as needed, to develop an individually tailored approach to the patient's pathology. Conclusions: After properly identifying the anatomic structures, each of these techniques provides a consistent, reproducible, and efficient means to decompress the spine under various circumstances. These techniques provide surgical trainees with a framework for approaching surgical decompression.
KW - Bone cuts
KW - Spinal decompression
KW - Spine
KW - Surgical technique
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U2 - 10.1016/j.wneu.2019.05.064
DO - 10.1016/j.wneu.2019.05.064
M3 - Article
C2 - 31102772
AN - SCOPUS:85067246486
VL - 129
SP - e146-e151
JO - World neurosurgery
JF - World neurosurgery
SN - 1878-8750
ER -