The approach to cervical vertebras from C2 to C7 is anterolateral, between the larynx and carotid arteries or lateral, behind the large vessels, at the posterior border of the sterno-cleido-mastoid muscle (Figs. 17, 18 and 19) (1). Lesions involving predominantly the neural arch may be
sampled through a direct posterior approach under CT-scan control. C1 biopsy is very critical and can only be achieved through an anterior transoral approach under biplane fluoroscopic guidance and general anesthesia.
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