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  • Spinal surgery punches designed to excise small segments of tissue (typically in the form of a thin disc several millimeters in diameter) from the cervical spine and/or posterior ligament. These punches are typically handheld, manual instruments with a cutting mechanism (e.g., movable, two-part) at the distal end with a size appropriate to perform the procedure and are operated by grasping an articulated handle. Cervical spinal punches may have distal ends designed for straight, downward, or upward cutting; they are used mainly to perform anterior cervical discectomy.
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