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Thoracolumbar junction T10-L2

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

The diaphragm is then retracted anteriorly to join the retroperitoneal space and the intrapleural cavity.  The lung does not need to be selectively deflated and can be easily retracted with a lung retractor and a moistened sponge for protection.