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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886 EISSN: 0028-3886
Vol. 57, No. 4, 2009, pp. 469-474
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Bioline Code: ni09130
Full paper language: English
Document type: Report
Document available free of charge
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Neurology India, Vol. 57, No. 4, 2009, pp. 469-474
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Rib head disarticulation for multilevel transpedicular thoracic corpectomies and expandable cage reconstruction
Chou, Dean; Eltgroth, Matthew; Yang, Isaac; Lu, Daniel & Manley, Geoff
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.
Keywords
Cage, corpectomy, costotransversectomy, disarticulation, lateral extracavitary approach, posterior, multilevel, reconstruction, rib head, thoracic, transpedicular
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