Thoracolumbar Decompression 

  • Indirect 
    • Ligamentotaxis 
  • Direct (below conus) 
    • Laminectomy 
    • Retraction of sac 
    • Direct decompression of bone fragments 
  • Direct (T-L5) 
    • Laminectomy 
    • Burring and thinning of pedicle to access vertebral body 
    • Tamp fragments back into body 
    • Decompress mass