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Left sided thoracotomy (T3-L1/2)

Positioning

Positioning for left sided thoracotomy (T3-L1/2)

The patient is placed onto a radiolucent table and turned into the lateral decubitus position, left side up. 
 
The left arm is elevated and placed in a well-padded support and a cushion pad should be placed underneath the right axilla.

Depending on surgeon preference, the table could have a tilting option. If selected, the tilting option should be located underneath the patient's thoracolumbar junction, which gives the possibility to open the intercostal space.

Pitfall
If the tilting option is used in the table, be careful to straighten the table prior to performing the instrumented fusion.