•  A midline posterior cervical exposure is performed.

•  Care is taken not to strip the facet capsule.

•  Only the medial portion of the lamina/facet junction is exposed.

•  Once exposed, the spinous processes from C3–C7 are removed.

•  Once the spinous processes are removed, bone wax or a hemostatic sealant is applied to control bone bleeding.

•  The junction between the lamina and facet is identified.

•  A burr is used to create an opening of approximately 3 mm.

•  This opening requires the removal of 15% of the facet joint.

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Cervical Surgical Positioning Posterior Cervical Laminectomy and Fusion Percutaneous Cement Augmentation Minimally Invasive Thoracic Corpectomy Open Laminectomy and Diskectomy Percutaneous Pedicle Screw Placement

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