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Laminotomy of the Axis for Surgical Access to the Cervical Spinal Cord A Case Report
Author(s) -
FINGEROTH JAMES M.,
SMEAK DANIEL D.
Publication year - 1989
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.1989.tb01054.x
Subject(s) - laminotomy , medicine , laminectomy , dorsum , spinal cord , atlas (anatomy) , atlantoaxial instability , anatomy , ligament , surgery , vertebra , cervical spine , psychiatry
A cranially hinged laminotomy of vertebra C 2 was used to expose the cervical spinal cord of a dog with a meningioma in the region of the atlantoaxial articulation. By preserving the dorsal atlantoaxial ligament, the technique seemed to result in greater and more physiologic stability between the atlas and axis than dorsal laminectomy and prosthetic replacement of the dorsal atlantoaxial ligament. The procedure allowed a dorsal approach, avoiding injury to the vertebral arteries and limited exposure, which are potential problems with hemiiaminectomy of C 1 ‐C 2 . Further investigation is needed to evaluate long‐term consequences of this procedure.