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Anterior Thoracic Decompression
24-13 Anterior Thoracic Decompression
21
Medical
Professional
04/25/2015

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Cards

Term
Which approach is popular for diskectomies in the thoracic region?
Definition
Thoracotomy
Term
Why is the thoracotomy approach for diskectomies popular?
Definition
Because of the small diameter of the thoracic spinal canal
Term
What is an alternative approach?
Definition
Removal of the medial segment of a rib and transverse process to expose the intervertebral disk.
Term
What is often used as autograft bone material?
Definition
The Rib
Term
What approach is utilized for placement of rods and pedicle screws?
Definition
Anterior/posterior Thoracic Approach
Term
What is placed and secured during a thoracotomy?
Definition
Screws & Rods or Fusion material
Term
Patient is turned onto the _______ _______ to a prone position
Definition
Wilson Frame
Term
Once in prone position what needs to be done?
Definition
Prepped and redraped
Term
What diagnostic tests & procedures are used?
Definition
Radiographic films, CT or MRI scanning
Term
What instruments are used for this approach due to the depth of the operative site?
Definition
Long rongeurs, curettes
Term
What table is used if intraoperative flouroscopy is needed, as beanbag will interfere?
Definition
Jackson Table
Term
Position?
Definition
Lateral with beanbag
Term
What kind of tube may be used to allow for deflation of the lung?
Definition
Double-lumen endotracheal tube
Term
What incision is made and what muscles transected?
Definition
Thoracotomy & Latissimus dorsi and other muscles
Term
rib resected with what to gain exposure?
Definition
Rib Cutter
Term
What is taken to verify correct level?
Definition
localization X-ray
Term
Once partial pleura is opened what is placed?
Definition
Thoracotomy retractor
Term
What is cleared with blunt dissection
Definition
Partial Pleura
Term
Segmental vessels are ligated with hemoclips and transected to do what?
Definition
Mobilize the aorta
Term
What is performed?
Definition
Diskectomy, decompression, or fusion
Term
Ribs are reapproximated with what? And sutured with?
Definition
With a Bailey and with Heavy absorbable suture
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