Cervical Laminaplasty
Cervical laminaplasty is an extensile approach used to decompress the spinal cord in patients with myelopathy. Tsuji1 was the first to describe the cervical laminaplasty procedure, in 1982. He reported satisfactory results with this procedure for patients with ossification of the posterior longitudinal ligament (OPLL), spondylosis, and spinal canal stenosis. Since then, there have been many adaptations of the cervical laminaplasty procedure, including dome-shaped laminaplasty, dorsolateral decompression,2 a double-door procedure with longitudinal splitting of the spinous processes,3 mini-plate augmentation of the spinal canal,4 tension-band laminaplasty,5 use of ceramic laminas,6 and various modifications of less invasive posterior decompressive procedures.1,7,8