Abstract:
:Traditional posterior approaches to the thoracic spine are done with either costo-transversectomy, lateral extracavitary approaches, or transpedicular approaches. The transpedicular approach is the only one that preserves the rib head. However, placing an expandable cage with this rib head intact poses special challenges because of the narrow corridor defined by the rib head and the spinal cord. Instead of removing the rib head, which requires pleural dissection and carries the risks of pleural injury, we disarticulate it and push it laterally during cage placement. This avoids pleural dissection and affords expandable cage placement through a transpedicular approach.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Chou D,Eltgroth M,Yang I,Lu D,Manley Gdoi
10.4103/0028-3886.55602subject
Has Abstractpub_date
2009-07-01 00:00:00pages
469-74issue
4eissn
0028-3886issn
1998-4022pii
ni_2009_57_4_469_55602journal_volume
57pub_type
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