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Pipsa Ylanko, AOSpine Global Education Manager

Executive Editor: Luiz Vialle General Editor: German Ochoa (in memoriam)

Authors: Alex Vaccaro, Frank Kandziora, Michael Fehlings, Rajasekaran Shanmughanathan

Thoracic and lumbar trauma

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Glossary

Thoracic and lumbar fractures: Right sided thoracotomy (T3-T10)

Right sided thoracotomy (T3-T10)

A right sided thoracotomy (T3-T10) is used when an anterior decompression and fusion is indicated.

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

Left sided thoracotomy (T3-L1/2)

A left sided thoracotomy (T3-L1/2) is used when an anterior decompression and fusion is indicated.

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

Thoracolumbar junction (T10-L2)

The left sided thoracolumbar junction approach (T10-L2), also called thoracophrenico lumbotomy, is only necessary in extensive thoracolumbar junction trauma.

It might be replaced by left sided thoracotomy or the lumbotomy, depending on fracture location.

Thoracic and lumbar fractures: Lumbotomy (L1-L4)

Lumbotomy (L1-L4)

The lumbotomy (L1-L4) is indicated for anterior decompression and fusion.  

Thoracic and lumbar fractures: Mini open retroperitoneal approach (L4-S1)

Mini open approach (L4-S1)

The mini open approach (L4-S1) is indicated for anterior decompression and fusion. The disc space L1/2 and above cannot be reached with this approach.

Thoracic and lumbar fractures: Posterior open approach - midline approach (T1-S1)

Posterior midline (T1-S1)

The posterior midline approach (T1-S1) is indicated for reduction and fixation. 

Thoracic and lumbar fractures: Minimally invasive right sided thoracic approach (T4-T10)

MIS right side thoracic (T4-T10)

This approach (T4-T10) is indicated for MIS anterior decompression and fixation.

Thoracic and lumbar fractures: Minimally invasive left sided thoracic approach (T10-L2)

MIS left side thoracic (T10-L2)

This approach (T10-L2) is indicated for MIS anterior decompression and fixation.

Thoracic and lumbar fractures: Minimally invasive lumbotomy (L2-L4)

MIS lumbotomy (L2-L4)

This approach (L2-L4) is indicated for MIS anterior decompression and fixation.

Thoracic and Lumbar fractures: Percutaneous posterior approach for pedicle screw placement

Percutaneous pedicle screws

The percutaneous pedicle screw approach is indicated for posterior reduction and fixation.

v1.0 2014-12-99