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Thoracolumbar junction T10-L2

Thoracic and lumbar fractures: Left sided thoracolumbar junction approach (T10-L2)|alt

After sweeping the peritoneum off the inferior surface of the diaphragm, it is taken down from the chest wall all the way to the spine (down to the crus) leaving a 1 cm margin around the periphery for later reattachment. It may be useful to leave marking sutures every 3-4 cm to aid later reattachment.