Kenneth J. Koval M.D, Joseph D. Zuckerman M.D.
Atlas of Orthopaedic Surgery: A Multimedia Reference represents the effort of many members of the NYU-Hospital for Joint Diseases Department of Orthopaedic Surgery.
Chapter 17Lumbar Microdiscectomy(The burr is used to thin out the inferior aspect of the superior lamina, down toward the underlying ligamentum flavum,an upgoing curette is used to separate the underlying ligamentum flavum from the undersurface of the lamina,a Kerrison rongeur removes the remaining thinned out lamina,a no. 15 scalpel blade can be used to cut the ligamentum flavum aiding removal,the Kerrison sequentially removes approximately the lateral half of the ligamentum flavum...Bupivacaine (Marcaine) may be used to infiltrate wound edges to reduce postoperative pain at the incision site just before closure.)
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