Abstract
For approaches to the thoracolumbar junction (T10–L1), Hodgson recommends a 9th rib resection.2 Dwyer recommends a 10th rib resection with the standard thoracolumbar approach.1 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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Goss CM (ed): Gray’s Anatomy of the Human Body, 29 edn. Philadelphia, Lea & Febiger, 1973.
Dwyer AF, Newton NC, Sherwood AA: An anterior approach to scoliosis. Clin Orthop 62:192, 1969.
Hodgson AR, Yau ACMC: Anterior approach to the spinal column. Chapter 9 in Apley AG (ed): Recent Advances in Orthopaedics. Baltimore, Williams & Wilkins, 1964, pp 289–326.
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.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1983 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Watkins, R.G. (1983). The Thoracolumbar Junction. In: Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0155-4_14
Download citation
DOI: https://doi.org/10.1007/978-1-4684-0155-4_14
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4684-0157-8
Online ISBN: 978-1-4684-0155-4
eBook Packages: Springer Book Archive