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foreign [Music] you know it this is lets see can I Advance this okay so cervical foramin army versus disc replacement I just want to say that you know this is that operation you know we kind of say where does this fit in its a great operation but I dont do it and we know that you know cervical radiculopathy is very prominent and you know were talking about this with acdfs and and total disc Replacements but where does this fit in and I I will say that its really not just for the soft disc herniation Im very comfortable doing cervical for anonymity for spondylosis as well but I think the major culprit of why we dont do this is the fact that acds are so prevalent I mean this is in our training program we do a lot of acdfs or residents fellows know how to do this and to do a posterior cervical for anatomy is its kind of hard um I would say in our even our fellowship I I dont see our fellas doing that many you know they may leave the fellowship maybe doing five posterior cervical