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PosteriorCervicalLaminoplasty Courtney N. Anders L E A R N I N G O B J E C T I V E S s Learn about the conditions cervical laminoplasty is used to treat s Analyze the three most common methods of posterior cervical laminoplasty s Review the anatomy affected by this type of procedure s Detail the specific tasks the CST is responsible for during these types of cases s Recall the procedural steps taken during the operation Posterior cervical laminoplasty has been performed since 1973 when it was first introduced. 4 Cervical laminoplasty was first used as a treatment option for ossification of the posterior longitudinal ligament (OPLL). 2,6 This technique allows for indirect spinal cord decompression while reducing the risk of post-operative scar tis- sue formation on the dura, and can preserve neck movement if done without a fusion. A posterior laminoplasty can be completed just as a laminoplasty (single or multi-level), in conjunction with a discectomy, and/ or with a fusion. 2 The wide range of options for the surgeon as well as the patient makes the posterior cervical laminoplasty a popu- lar surgical option. As advancements in medicine have allowed spinal surgery to progress, so have the indications for cervical laminoplasty. The main goal of a laminoplasty is to decompress the spinal cord while providing solid points of fixation to improve stability. 3 By decompress- ing the spinal cord, normal neurological function can continue and improve. The cervical laminoplasty is used to treat many conditions such as tumors and cysts on the spinal cord, cervical myelopathy, and various neuromuscular disorders. 3,6 The leading indication remains spi- nal stenosis. Spinal stenosis is the narrowing of the spinal canal and can contribute bone spurs in the vertebrae causing neurological symptoms such as arm pain, numbness and weakness in the hands, and muscle AUGUST 2019 | The Surgical Technologist | 367