Laminectomy

CHAPTER 124


Laminectomy


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A laminectomy is an incision in the back to remove the lamina so as to expose the spinal column.


Possible instruments and equipment needed for the procedure include a neurologic soft tissue set; an operating microscope for visualization; an electrosurgical unit; and an electric drill, bits, and burrs.


A brief description of the procedure follows:



1. A Beckman-Adson retractor is used to expose the vertebrae.


2. A Hibbs retractor is used if deeper retraction is needed.


3. A Cobb elevator is used to remove periosteum from the laminae.


4. A Smith-Petersen rongeur is used to remove the spinous processes.


5. Cushing bayonet forceps with teeth are used to grasp the ligamentum flava.


6. A Bard-Parker scalpel handle #7 with #15 blade is used to incise close to the midline.


7. A Mellon curette is used to remove lateral gutter ligaments.


8. A Brun curette is used to define the laminae edges.


9. A Leksell rongeur is used to remove the laminae and expose the spinal cord.


10. An Adson blunt nerve hook is used to explore nerve roots and extradural space.


11. A Love retractor is used to protect nerves from injury.


12. A Cushing disk rongeur is used to remove disk material.

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Mar 16, 2017 | Posted by in NURSING | Comments Off on Laminectomy

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