Rib head disarticulation for multilevel transpedicular thoracic corpectomies and expandable cage reconstruction.

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 India

journal_title

Neurology India

authors

Chou D,Eltgroth M,Yang I,Lu D,Manley G

doi

10.4103/0028-3886.55602

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

469-74

issue

4

eissn

0028-3886

issn

1998-4022

pii

ni_2009_57_4_469_55602

journal_volume

57

pub_type

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