Novel instrumentation and technique for tissue sparing posterior cervical fusion

•Simple instrument set and technique for posterior cervical fusion (PCF) described.•Some PCF techniques previously reported in the literature associated with good results but significant perioperative morbidity.•Reducing soft tissue damage may reduce perioperative morbidity.•Instruments and technique allow direct visualization for decortication and fusion.•Procedure described minimizes damage to paraspinal muscles.

Authors have developed a simple, disposable instrument set for posterior cervical fusion (PCF). The instruments and technique minimize soft tissue disruption and facilitate access for cervical facet joint cartilage decortication. Technique is proposed for select patients not requiring laminectomy.