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Left sided thoracotomy (T3-L1/2)

Thoracic and lumbar fractures: Left sided thoracotomy (T3-L1/2)

Skin Incision

The incision is carried out from postero-superiorly around the angle of the scapula, obliquely sloping to antero-inferiorly.

The length of the incision depends on many factors eg, number, location and classification of fractures, obesity of the patient, previous thoracic operations, etc. 

It is necessary to confirm the correct level of the approach with fluoroscopy.