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Selection of technique

The major posterior approaches to the vertebral body in the thoracic spine are:

  • Transpedicular
  • Costotranversectomy

The costotransversectomy provides a wider working corridor and better exposure of the contralateral vertebral body.

Depending on the desired extent of the vertebral body resection, the surgeon may utilize either approach unilaterally or bilateral transpedicular approach.

We will here demonstrate the use of a bilateral transpedicular approach for the removal of the entire vertebral body.