{"id":3384,"date":"2023-11-12T13:47:48","date_gmt":"2023-11-12T05:47:48","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3384"},"modified":"2023-11-12T13:50:17","modified_gmt":"2023-11-12T05:50:17","slug":"cervical-laminoplasty-plate","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3384","title":{"rendered":"Cervical Laminoplasty (Plate)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3384\" class=\"elementor elementor-3384\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9744ab3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9744ab3\" 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-119d955\" data-id=\"119d955\" 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-c7cebc9 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=\"c7cebc9\" 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-c7cebc9\" 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-c7cebc9\" 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-f2cc65d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f2cc65d\" 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-397d8af\" data-id=\"397d8af\" 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-07e3aa6 elementor-widget elementor-widget-heading\" data-id=\"07e3aa6\" 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 Laminoplasty (Plate)<\/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-0edb880 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0edb880\" 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-2102c18\" data-id=\"2102c18\" 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-00ef8f5 elementor-widget elementor-widget-shortcode\" data-id=\"00ef8f5\" 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-3379 .hotspots-image-container,\n\t#hotspot-3379 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3379 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3379 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3379 .hotspot-title,\n\t#hotspot-3379 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3379 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3379 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-3379 .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-3379 .hotspot-style-1:hover,\n\t\t#hotspot-3379 .hotspot-style-1:focus,\n\t\t#hotspot-3379 .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-3379 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\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-3379 .hotspot-default:hover,\n\t\t#hotspot-3379 .hotspot-default:focus,\n\t\t#hotspot-3379 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\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-3379 .leaflet-tooltip,\n\t#hotspot-3379 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3379 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-3379 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-3379 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-3379 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-3379 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-3379 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-3379 .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-3379\" 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\/laminoplasty-plate-Spine.png\"\n\t\talt=\"Cervical Laminoplasty (plate)\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3379\"\n\t\tdata-image-title=\"Cervical Laminoplasty (plate)\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3379\"\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-3379\" 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=\"94,271,94,214,375,214,375,271\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3379-0\"\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-3379-0\"\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=\"108,507,108,452,376,452,376,507\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3379-1\"\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-3379-1\"\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=\"841,316,841,262,1207,262,1207,316\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3379-2\"\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-3379-2\"\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-3379-0\">\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-laminoplasty-plate-draping-576x1024.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-laminoplasty-plate-draping-576x1024.png 576w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-laminoplasty-plate-draping-169x300.png 169w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-laminoplasty-plate-draping.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-3379-1\">\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 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\">Procedure<\/span><\/u><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1. GA<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">2. Foley catheter insertion<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">3. Mayfield skull tong apply<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">4. Prone position<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">5. Draping<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">6. Midline skin <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">incsion<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">7. Dissected paraspinal muscle <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">subperiosterally<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">8. use x-ray to confirm position of C2 level<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">9. Use cutting bur and diamond bur for laminotomy<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">10. bur medial to facet joints to make paramedian gutter<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">11. Double door opening laminoplasty was done<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">12. ARCH plate introduced with screw<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">13. Wound irrigation and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">haemostasis<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">14. +\/-Place the autograft at the gutters<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">15. Insert drainage and wound <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">closingInstrumentation<\/span><\/p>\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\">Closure<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Gentamicin mixed saline irrigation<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Diluted Betadine solution (30ml 10% betadine in 1L NS)<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vancomycin powder<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Redivac<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> Fr10 x 1<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl-1 x 2<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Spine <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Stratafix<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> x 1<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">2\/O <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> cutting<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Silk suture<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Local <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">anaesthesia<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> bupivacaine<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Silver dressing<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Large Tegaderm x 6<\/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: Arial;font-size: 12.0pt\">\u2022<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Duoderm<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> x 8<\/span><\/div>\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-3379-2\">\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-1-576x1024.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-1-576x1024.png 576w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-1-169x300.png 169w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/Cervical-ASF-consumable-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<\/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-231cb82 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"231cb82\" 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-68569a1\" data-id=\"68569a1\" 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-0250332 elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"0250332\" 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 Laminoplasty (Plate)<\/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-3384","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\/3384","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=3384"}],"version-history":[{"count":7,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3384\/revisions"}],"predecessor-version":[{"id":3391,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3384\/revisions\/3391"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3384"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3384"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}