Journal
NEUROLOGY INDIA
Volume 57, Issue 4, Pages 469-474Publisher
MEDKNOW PUBLICATIONS & MEDIA PVT LTD
DOI: 10.4103/0028-3886.55602
Keywords
Cage; corpectomy; costotransversectomy; disarticulation; lateral extracavitary approach; posterior; multilevel; reconstruction; rib head; thoracic; transpedicular
Categories
Ask authors/readers for more resources
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.
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