Selective Blocking Laminoplasty in Cervical Laminectomy and Fusion to Prevent Postoperative C5 Palsy

Cervical laminectomy and fusion (CLF) is a common surgical option for multi-level cord compression. Postoperative C5 palsy occurrence after CLF has been a vexing problem for spine physicians. The posterior shift of the cord following laminectomy has been implicated as a major factor for postoperative C5 palsy, but attempts by spine surgeons to mitigate excessive shift while providing sufficient decompression have not been well reported.

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