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What is the ePICL procedure? How does it differ from the PICL procedure for Craniocervical Instability (CCI)? How does the e (enhanced) change the procedure and hopefully improve outcomes? Dr. Centeno discusses the evolution of the PICL procedure, which he has now advanced to a new level, renaming it the E-PICL procedure. Dr. Centeno walks through the history and advancements made since the procedure's inception in 2013, highlighting key developments that have dramatically improved targeting of the ALAR ligament. He emphasizes that this enhanced procedure is exclusively performed by trained physicians in Colorado, ensuring the highest level of safety and efficacy. As Dr. Centeno prepares for a sabbatical, he provides insights into the current state of the E-PICL and what makes it distinct from previous iterations. 🔔 Subscribe for more CCI related videos: / @centenohome Follow us for updates and news: Website: https://centenoschultz.com/ Facebook: ( / centenoschultzclinic ) Instagram: ( / centenoschultzclinic ) LinkedIn: ( / chris-centeno-m-d-b6838024 ) Time stamps: 00:01 - Introduction and mention of upcoming sabbatical. 00:21 - Renaming of the procedure to the E-PICL procedure. 01:00 - Establishment of PICL as a procedure in 2015. 02:27 - Introduction of PICL version 2.0 (E-PICL). 03:21 - E-PICL procedure exclusively performed by Colorado physicians. 04:38 - Required tools and techniques for the E-PICL procedure. 05:16 - Targeting the ALAR ligament with the E-PICL technique. 06:16 - Summary of advancements and exclusivity of the procedure.