Journal
JOURNAL OF NEUROSURGERY-SPINE
Volume 10, Issue 1, Pages 40-45Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2008.10.SPI08433
Keywords
costotransversectomy; extracavitary approach; osteotomy; rib head; transpedicular corpectomy; trap door
Categories
Ask authors/readers for more resources
Lateral extracavitary and costotransversectomy approaches have been well described. and they are useful for posterior thoracic corpectomies. However, these approaches require pleural dissection and are associated with well-documented morbidities, including hemothorax, pneumothorax, and pneumonia. But without removing the rib head, the window through which an expandable cage can be placed from a posterior approach is narrow. Thus. smaller nonexpandable mesh cages or methylmethacrylate constructs are commonly Used for anterior column reconstruction. The authors describe a technique of using a trap-door rib-head osteotomy that avoids pleural dissection, yet allows a large expandable cage to be placed from an entirely posterior approach. (DOI: 10.3171/2008.10.SPI08433)
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available