Hospital
Patient Lastname
Patient Firstname
Patient ID
Physician
Resident
Date
Diagnosis
Anesthesia
Interspace C3-4|C4-5|C5-6|C6-7|C7-T1|
laterality right|left|
Localizing X-Ray?
Annulus Incised?
depomedrol
Disc Appearance
Discectomy Description
EBL