Abstract
Abstract: Although technically demanding, the lateral extracavitary approach offers a number of distinct advantages for treatment of thoracolumbar trauma. This approach can be used, with minor modifications, from T3 through S1. Up to four vertebral levels can be addressed. Ventral decompression can be carried well across the midline. When combined with a contralateral transpedicular decompression, 360° decompression is readily accomplished. Dorsal decompression, instrumentation, and arthrodesis can be performed easily through the same exposure. Because the neural elements are visualized early in the procedure, the lateral extracavitary approach is particularly well suited to treatment of patients with incomplete neurologic deficit. Because of the extensive nature of the decompression, reduction of deformity can be accomplished with relative safety.
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