{"id":3353,"date":"2023-11-10T11:25:59","date_gmt":"2023-11-10T03:25:59","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3353"},"modified":"2023-11-10T11:28:45","modified_gmt":"2023-11-10T03:28:45","slug":"cervical-asf","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3353","title":{"rendered":"Cervical ASF"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3353\" class=\"elementor elementor-3353\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b876379 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b876379\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70120d9\" data-id=\"70120d9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48a5eaf elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"48a5eaf\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-48a5eaf\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3362\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3353\" class=\"elementor-item menu-link\">Cervical ASF<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3395\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3384\" class=\"elementor-item menu-link\">Cervical Laminoplasty (Plate)<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3223\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3218\" class=\"elementor-item menu-link\">UBE Spine<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3396\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3368\" class=\"elementor-item menu-link\">Endoscopic Radiofrequency Ablation (Spine)<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3676\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3665\" class=\"elementor-item menu-link\">OLIF<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-48a5eaf\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3362\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3353\" class=\"elementor-item menu-link\" tabindex=\"-1\">Cervical ASF<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3395\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3384\" class=\"elementor-item menu-link\" tabindex=\"-1\">Cervical Laminoplasty (Plate)<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3223\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3218\" class=\"elementor-item menu-link\" tabindex=\"-1\">UBE Spine<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3396\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3368\" class=\"elementor-item menu-link\" tabindex=\"-1\">Endoscopic Radiofrequency Ablation (Spine)<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3676\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3665\" class=\"elementor-item menu-link\" tabindex=\"-1\">OLIF<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-99bf423 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"99bf423\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-387f133\" data-id=\"387f133\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ca7a470 elementor-widget elementor-widget-heading\" data-id=\"ca7a470\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Cervical ASF<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-33c4ed9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"33c4ed9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-89764c5\" data-id=\"89764c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d17b925 elementor-widget elementor-widget-shortcode\" data-id=\"d17b925\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-3350 .hotspots-image-container,\n\t#hotspot-3350 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3350 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3350 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3350 .hotspot-title,\n\t#hotspot-3350 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3350 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3350 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-3350 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3350 .hotspot-style-1:hover,\n\t\t#hotspot-3350 .hotspot-style-1:focus,\n\t\t#hotspot-3350 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-3350 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #81d742;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3350 .hotspot-default:hover,\n\t\t#hotspot-3350 .hotspot-default:focus,\n\t\t#hotspot-3350 .hotspot-default.hotspot-active {\n\t\t\tfill: #81d742;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3350 .leaflet-tooltip,\n\t#hotspot-3350 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3350 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-3350 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-3350 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-3350 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-3350 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-3350 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-3350 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-3350\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/ASF-Spine.jpg\"\n\t\talt=\"Cervical ASF\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3350\"\n\t\tdata-image-title=\"Cervical ASF\"\n\t\tdata-image-description=\"Cervical ASF\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3350\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-3350\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"89,272,89,219,375,219,375,272\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3350-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3350-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"105,508,105,450,372,450,372,508\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3350-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3350-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"844,312,844,264,1208,264,1208,312\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3350-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3350-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3350-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"576\" height=\"1024\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-draping-1-576x1024.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-draping-1-576x1024.png 576w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-draping-1-169x300.png 169w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-draping-1.png 720w\" sizes=\"(max-width: 576px) 100vw, 576px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3350-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Awake <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">fibre<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">F<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">oley catheter insertion<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Nasogastric tube inserted to <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">indentify<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> esophagus<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Positioning with neck slightly extended<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Checked level with X-ray<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Draping<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Smith Robinson approach<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Transverse skin incision<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dissected <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">palatysma<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> muscle<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Deep cervical fascia incised anterior to SCM<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Carotid sheath retracted laterally<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Strap muscle, thyroid and esophagus are <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">reteacted<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> medially<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Digital dissection done to the vertebral level<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Prevertebral <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">fasia<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> open<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Londus<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">colli<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> elevated and excised<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">17.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Annulotomy<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">18.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Disc are removed by pituitary rongeur<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">19.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Caspar retractor applied to vertebra above and below<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">20.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Tubular retractor (Insight) applied<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">21.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Endplate is prepared by burr under microscopic vision<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">22.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dura exposed<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">23.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Foraminotomy<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">24.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Epidural Hemostasis by bipolar and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">gelfoam<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">25.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cage trial applied and sized<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">26.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Choronos<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> packed into cage<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">27.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Awl and drill the screw holed<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">28.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Confirmed under X-ray<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">29.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">VA locking screws inserted<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">30.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Wound irrigation and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">haemostasis<\/span><\/div>\n<div style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">31.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">drainage<\/span><\/div>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound <\/span><\/u><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicry 1 RB<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl 2\/O<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">E<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">thilon<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">3\/O <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cosmopore<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with silver (S)\u00a0 <\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3350-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img decoding=\"async\" width=\"576\" height=\"1024\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-576x1024.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-576x1024.png 576w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-169x300.png 169w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable.png 720w\" sizes=\"(max-width: 576px) 100vw, 576px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-32f7a51 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"32f7a51\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d977b3c\" data-id=\"d977b3c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71b192f elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"71b192f\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cervical ASF<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[35],"tags":[],"class_list":["post-3353","post","type-post","status-publish","format-standard","hentry","category-reference"],"_links":{"self":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3353"}],"version-history":[{"count":4,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3353\/revisions"}],"predecessor-version":[{"id":3357,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3353\/revisions\/3357"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}