Guide Anatomy and Exposures of Spinal Nerves

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Recent Activity. Affiliations 1. No matching affiliation detected. Find all citations in this journal default. Or filter your current search. Spine [13 Aug ]. Whilst most cadaveric studies focus on course variations, structural relations of RLN, they have been done in preserved fixed cadavers without relevance to the needs of spinal exposure.

METHODS:Twelve fresh undyed cadavers had extensive layer by layer dissections by 2 surgeons one with extensive experience as anatomy dissector. Both sides were explored for vulnerability during cervical spinal procedures. Each dissection was carried out in a phased approach and deliberately explored beyond what can be afforded in live surgery to allow the reader to conceptualize a better view of the structures. RESULTS:In all specimens, we consistently demonstrated that the right surgical corridor involved manipulation of the nerve and its branches especially below C5 in order to achieve optimum midline access: In the right corridor, the RLN is on its oblique course to the tracheoesophageal groove.

On the left RLN is already in the tracheoesophageal groove and out of the surgical field involving minimal direct mobilization of the nerve.

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