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the cervical plexus block is a simple technique that packs a punch itamp;#39;s a useful adjunct for a number of surgical procedures and in this video weamp;#39;ll discuss the anatomy sono anatomy indications and technique for cervical plexus blockade the cervical plexus is formed by the ventral rami of c1 through c4 these roots form a plexus that lies deep to the pre-vertebral fascia giving rise to a number of important branches that innervate structures in the neck and trunk at this deep layer the plexus gives rise to a number of muscular branches including those to the infrahyoid or strap muscles of the neck most of these come off the loop-like ansa cervicalis the cervical plexus also innervates the pre-vertebral neck muscles and provides sensory and proprioception to the sternocleidomastoid and trapezius muscles along with the brachial plexus the cervical plexus co-innervates the levator scapulae muscle and the anterior and middle scalenes another important nerve that come