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Thoracolumbar junction T10-L2

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

One or two chest tubes must be introduced in the mid-axillary line (some surgeons prefer an anterior drain to extract air from the chest cavity and a posteriorly placed drain for drainage of blood and fluid, others prefer just a single drain).

A retroperitoneal suction drain is optional.

The diaphragm is reattached using interrupted sutures, making sure that the pleura parietalis is approximated and preferably closed over the instrumentation.