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Posterior access to C0-C5

Closure

Prior to closure:

  • Achieve meticulous hemostasis.
  • Vancomycin powder may be applied in the wound.

Meticulously reapproximate all the muscles with numerous interrupted sutures placed 1 cm apart. This will prevent wound and muscle dehiscence as well as provide a cosmetically pleasing result.

For patients undergoing revision metastatic spine tumor surgery and/or with history of radiation, plastic surgery should perform the soft tissue reconstruction to decrease the risk of wound complications.

Drains are usually inserted via a separate stab incision.