Paraspinal approach to lumbar spine (see text). A, Midline skin incision. B and C, Fascial incisions. D and E, Blunt finger dissection between muscle groups to palpate facet joints.(Redrawn from Wiltse LL, Spencer CW: New uses and refinements of the paraspinal approach of the lumbar spine, Spine 13:696, 1988.) SEE TECHNIQUE 37.26