Executive Editor: Luiz Vialle General Editor: German Ochoa (in memoriam)

Authors: Alex Vaccaro, Frank Kandziora, Michael Fehlings, Rajasekaran Shanmughanathan

Thoracic and lumbar trauma - B2 Anterior stabilization

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Glossary

Thoracic and lumbar fractures: Preparation and positioning

Right sided thoracotomy (T3-T10)

A right sided thoracotomy (T3-T10) is used when an anterior decompression and fusion is indicated.

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Preparation and positioning

Left sided thoracotomy (T3-L1/2)

A left sided thoracotomy (T3-L1/2) is used when an anterior decompression and fusion is indicated.

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Thoracolumbar junction (T10-L2)

The left sided thoracolumbar junction approach (T10-L2), also called thoracophrenico lumbotomy, is only necessary in extensive thoracolumbar junction trauma.

It might be replaced by left sided thoracotomy or the lumbotomy, depending on fracture location.

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Lumbotomy (L1-L4)

The lumbotomy (L1-L4) is indicated for anterior decompression and fusion.  

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Mini open approach (L4-S1)

The mini open approach (L4-S1) is indicated for anterior decompression and fusion. The disc space L1/2 and above cannot be reached with this approach.

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v1.0 2014-12-99