Authors of section

Author

Anton Fürst

Executive Editor

Jörg Auer

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Dorsal midline approach to the cervical spine

1. Skin incision

With the patient in sternal recumbency.

dorsal midline approach to the cervical spine

A 20 cm straight skin incision is centered over the fracture site.

Radiographic markers like staples are used to define the precise location of the skin incision.

dorsal midline approach to the cervical spine

2. Exposure

The nuchal ligament is approached by sharp and blunt dissection, split in the median plane and separated from the bone in the region of the dorsal process.

dorsal midline approach to the cervical spine