The skin of the nuchal region features the presence of the hairline down to the middle region of the neck. Consequently, any surgical approach in this zone requires that the patient be shaved up to the level of the ears. The nuchal skin is rather thick and frequently displays transverse folds when the spine is erect or in extension. Distension of the skin occurs only on flexion of the cervical spine. Downward traction applied to the roots of the shoulders also tightens the skin in this region.
KeywordsCervical Spine Vertebral Artery Dura Mater Hyoid Bone Ligamentum Flavum
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