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hi this is Dr. Scott Blumenthal. today were going to be watching surgery for a herniated disc in the cervical spine through an anterior approach with an artificial disc. This particular one the mobi-C. alright what were seeing here is a standard opening for cervical disc replacement they call the incision in langurs lines as you can see its very bloodless and it doesnt take more than a few minutes to get to the front of the cervical spine and you can see not much cutting of tissue either things just kind of get out of the way and allows you to put a retractor in What we see here is marking the disc with a needle and then well bring an x-ray to insure that we are at the correct level this shows us placing these self-retaining retractors and then hopefully well give you a close-up to show you the disk a little bit better this device is a self-retaining retractor which is very commonly used or some iteration of it is very commonly used in anterior cervical surgery next thing well