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Technical Challenges and Utility of Anterior Exposure for Thoracic Spine Pathology
Brian L. Pettiford, MD, Matthew J. Schuchert, MD, Geetha Jeyabalan, MD, James R. Landreneau, Arman Kilic, BS, Joshua P. Landreneau, Omar Awais, MD, Michael S. Kent, MD, Peter F. Ferson, MD, James D. Luketich, MD, Andrew B. Peitzman, MD, Rodney J. Landreneau, MD The Annals of Thoracic Surgery Volume 86, Issue 6, Pages (December 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Thoracolumbar spine exposure. Note the BOOKWALTER retraction system in place. This allows retraction at several points and angles in comparison to a standard “ribspreader” system. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Cervical spine exposure through left neck. Special care is taken to avoid injury to the recurrent laryngeal nerve during self-retaining retractor positioning. The sternocleidomastoid and carotid sheath are retracted laterally to provide exposure to the cervical spine with extension into an upper sternal split. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions
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