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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Related Experiment Video

Updated: May 28, 2026

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
04:57

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

Published on: July 3, 2025

Extrapleural approach for thoracic vertebral stabilization.

Igor E Konstantinov1,2,3,4, Vincent H Le1, Michael B Johnson5

  • 1Department of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.

Interdisciplinary Cardiovascular and Thoracic Surgery
|May 26, 2026
PubMed
Summary
This summary is machine-generated.

Accessing upper thoracic vertebrae (T1-T5) is challenging. A combined median sternotomy and lateral cervical incision via an anterior extrapleural approach successfully decompressed and stabilized a T2 burst fracture in a young patient.

Keywords:
Extrapleural approachThoracic vertebral stabilizationTraumatic Injury

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Related Experiment Videos

Last Updated: May 28, 2026

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04:57

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Published on: July 3, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Published on: November 8, 2024

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Surgical access to the upper thoracic vertebral bodies (T1-T5) presents significant technical difficulties.
  • The anterior extrapleural approach offers good visualization but is complicated by nearby vital structures like great vessels, sternum, and trachea.

Purpose of the Study:

  • To describe a modified anterior extrapleural approach for surgical access to the upper thoracic spine.
  • To detail the successful application of this technique in a pediatric patient with a complex spinal injury.

Main Methods:

  • A 16-year-old male with avoidant/restrictive food intake disorder and autism spectrum disorder underwent surgery for a traumatic T2 pathological burst fracture.
  • The procedure involved thoracic vertebral decompression and stabilization using an anterior extrapleural approach.
  • This approach combined a median sternotomy with a lateral cervical incision for enhanced exposure.

Main Results:

  • The combined surgical approach provided excellent visualization and access to the anterior upper thoracic vertebral bodies.
  • The patient's T2 pathological burst fracture, resulting from spinal hemangioma and osteopenia, was successfully addressed.
  • The surgical intervention facilitated necessary decompression and stabilization of the affected thoracic vertebrae.

Conclusions:

  • A combined median sternotomy and lateral cervical incision via an anterior extrapleural approach is an effective strategy for accessing the anterior upper thoracic spine.
  • This technique overcomes the challenges associated with the anterior extrapleural approach, enabling safe and effective surgical management of complex upper thoracic vertebral pathologies.
  • The described approach offers a viable solution for challenging upper thoracic vertebral surgeries, particularly in cases involving trauma and underlying bone conditions.