Abstract
For approaches to the thoracolumbar junction (T10–L1), Hodgson recommends a 9th rib resection.1 Dwyer recommends a 10th rib resection with the standard thoracolumbar approach.2 For T12–L1, Perry3 recommends a 10th rib resection. The rules for resecting the best rib for exposure are much the same in this area as in the rest of the thoracic spine. Ideally, choosing the rib in the midaxillary line opposite the lesion or the apex of a curve allows adequate proximal exposure for working “down” or caudad on the lesion.
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References
Hodgson AR, Yau ACMC: Anterior approach to the spinal column. In Apley AG (ed): Recent Advances in Orthopaedics. Baltimore, Williams & Wilkins, 1964, pp 289–326.
Dwyer AF, Newton NC, Sherwood AA: An anterior approach in scoliosis. Clin Orthop 62:192, 1969.
Perry J: Surgical approaches to the spine. In Pierce N, Nichol V (eds): The Total Care of Spinal Cord Injuries. Boston, Little, Brown, 1977, pp 53–79.
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Watkins, R.G. (2015). The Thoracolumbar Junction. In: Watkins, III, R., Watkins, IV, R. (eds) Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2465-3_18
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DOI: https://doi.org/10.1007/978-1-4939-2465-3_18
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