• S H Purvines and M B Pritz.
• Section of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN 46202-5124, USA.
• Spine. 2000 May 15; 25 (10): 127812821278-82.

Study DesignA technique for posterior cervical hemilaminectomy reconstruction is described.ObjectiveTo describe a technique for reconstruction of cervical hemilaminae in an adult that resulted in osseous fusion and to suggest modifications for use in children.Summary Of Background DataAlthough uncommon, cervical hemilaminectomy can result in spine deformity. Re-establishment of the osseous and ligamentous structures should minimize this problem.MethodAfter excision of an intraspinal neurenteric cyst, removed cervical hemilaminae at C2 and C3 were reconstructed with metal plates, and posterior ligaments were reapproximated with suture.ResultsRadiologic evidence of osseous fusion was present at 1 year after surgery.ConclusionsThe advantages of this technique are restoration of normal anatomy, technical ease, and simplicity. A modification of this technique in children by using absorbable rather than metal plates should allow for normal spine growth.

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