The use of the quarterly GOSCE favorably influenced the students, faculty, and curriculum. The GOSCE format made possible the assessment of a large number of students' abilities, without the time and expense needed to evaluate students individually.
Accepted laminoplasty techniques may limit one's ability to decompress cervical nerve roots and the constructs may fail leading to restenosis of the cervical spinal canal. A simple laminoplasty technique has been developed using titanium miniplates that permits adequate decompression of the cervical spinal cord and bilateral cervical nerve roots, and successfully reconstructs an enlarged rigid spinal canal.
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