Hospital
Patient Lastname
Patient Firstname
Patient ID
Physician
Resident
Date
Diagnosis
Anesthesia
Interspace C3-4|C4-5|C5-6|C6-7|C7-T1|
PLL incised?
graft
plate
graft-type none|bone bank fibula|iliac crest|
plate-type none|Synthes|ABC|Orion|
Disc Appearance
Discectomy Description
EBL