• By use of an AP fluoroscopic image, key bony landmarks are identified:
– midline (spinous processes)
– pedicular line (lateral edge of the pedicle)
vertical
horizontal
– skin incision line
For laminectomies, the incision is made closer to the midline.
For fusions, the incision is made lateral to the midpedicular line (1.0 cm).
– The size of the skin incision is dependent upon the size of the final working portal (15-26 mm).


Stay updated, free articles. Join our Telegram channel

Full access? Get Clinical Tree

