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Spine
intermediate
X-Type

Lumbar Laminectomy

Surgical Techniques

A 68-year-old male with lumbar spinal stenosis presents with neurogenic claudication. He can walk only 100 meters before leg pain forces him to stop. Symptoms have been progressive despite 6 months of conservative treatment. MRI shows central stenosis at L3-L4 and L4-L5. Regarding lumbar laminectomy surgical technique:

Mark each as TRUE or FALSE

A

Lumbar laminectomy involves removal of the spinous process, lamina, and ligamentum flavum to decompr...

B

Patient positioning is critical for lumbar surgery; the prone position on a Wilson frame or Jackson ...

C

During laminectomy, the entire facet joint should be removed bilaterally to ensure complete decompre...

D

Correct level identification is essential to avoid wrong-level surgery; techniques include preoperat...

E

The lateral recess and foramen should be decompressed as part of a complete decompression for stenos...

Answer the questions to see explanations

Click T (True) or F (False) for each option