Fig. 4
From: Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors
Case 3. a The paraspinal muscles were dissected and separated under the periosteum to expose the spinous process and lamina, while the supraspinous and interspinous ligaments remained intact. b The visual field of the operation was exposed. c The tumor was completely separated and removed under the microscope. d A completely resected tumor. e Waterproof suture was performed on the dura mater after tumor resection. f The lamina was reduced and fixed with titanium screw and ARCH plate. Moreover, the suture line of tendon was used to fix the supraspinous ligament of the head and tail of the lamina