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Thoracolumbar junction T10-L2

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

Dissection should now proceed anteriorly on the vertebral bodies above and below the involved vertebra to the level of the anterior longitudinal ligament with protection of the great vessels anteriorly. The sympathetic chain should be identified and reflected anteriorly along with the periosteum.

Next, the normal vertebral body above and below the involved vertebra should be exposed.