What is the preferred instrument used during a laminectomy procedure?

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During a laminectomy procedure, the preferred instrument is Kerrison's rongeur. This specific instrument is designed for cutting and removing bone, which is a crucial part of performing a laminectomy. The primary goal of this procedure is to relieve pressure on the spinal cord or nerve roots, often caused by spinal stenosis or herniated discs. The Kerrison's rongeur allows for precise removal of lamina and other bony structures while minimizing damage to surrounding tissues, making it ideal for this delicate work.

Other instruments, such as a scalpel, while useful for making initial skin incisions, do not serve the specific function of bone removal. DeBakey forceps are primarily used for grasping and manipulating softer tissues and vessels rather than cutting bone. Bandage scissors are designed for cutting dressings or fabric, which is not applicable during the actual surgical excision of bony structures. Thus, the choice of Kerrison's rongeur directly addresses the needs of the procedure, making it the instrument of choice in laminectomies.

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