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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: Preparation and positioning

Right sided thoracotomy (T3-T10)

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

Preparation and positioning

Left sided thoracotomy (T3-L1/2)

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

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.

Lumbotomy (L1-L4)

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

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.

Posterior midline (T1-S1)

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

MIS right sided thoracic(T4-T10)

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

MIS left sided thoracic (T10-L2)

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

MIS lumbotomy (L2-L4)

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

Percutaneous pedicle screws

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

v1.0 2014-12-99