Split laminotomy in pediatric neurosurgery.

TECHNIQUE: A novel technique of multilevel opening of the spinal canal is introduced into pediatric neurosurgery. Split laminotomy helps to preserve the spinal column integrity in cases of posterior exposure of the spinal canal. The spinal processes are cut in the midline and the laminae are separated and retracted while the lesion in the spinal canal is explored. At closure the lamina are simply sutured. RESULTS AND DISCUSSION: Excellent postoperative results were obtained in patients from different age groups. Pediatric peculiarities of the new method are discussed.