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Posterior access to C3-C7

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Dissection

The dissection is carried down in the midline through the subcutaneous tissue and the fascia to the tips of the spinous processes.

The dissection should be carried down through the midline to decrease bleeding.

It is necessary to confirm the vertebral level with fluoroscopy as soon as bony structures are visible. This is done prior to any further dissection.

Self-retaining retractors are used to maintain tension on soft tissues during exposure.