Extrapleural approach for thoracic vertebral stabilization
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ID: 315009
2026
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Abstract
Abstract Surgical access to the upper thoracic vertebral bodies, defined as T1-T5, remains a technical challenge. The anterior extrapleural approach provides excellent visualization and access to the thoracic vertebrae, however, it remains a challenge due to the presence of the great vessels, sternum and trachea. Herein, we describe the case of a 16-year-old boy with avoidant/restrictive food intake disorder and autism spectrum disorder, who presented with lower limb paraparesis following a traumatic hyperflexion injury. Imaging revealed a T2 pathological burst fracture due to spinal hemangioma and osteopenia. Thoracic vertebral decompression and stabilization were performed through an anterior extrapleural approach using a median sternotomy combined with a lateral cervical incision. This approach provided excellent exposure of the anterior upper thoracic vertebral bodies.
| Reference Key |
openalex_W7162422189
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|---|---|
| Authors | Igor E. Konstantinov, Vincent H Le, Michael Johnson, Amine Mazine |
| Journal | Interdisciplinary CardioVascular and Thoracic Surgery |
| Year | 2026 |
| DOI |
10.1093/icvts/ivag161
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| URL | |
| Keywords | Keywords not found |
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