Figure 8From: Direct cord implantation in brachial plexus avulsions: revised technique using a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy In the extreme lateral approach, the skin incision extends from the sternoclavicular joint and is continued in the posterior triangle of the neck in a lateral and cranial direction, toward the spinous processes of C4-5 (dashed line); thus there is but limited access to the extraspinal brachial plexus.Back to article page