Term
| Which approach is popular for diskectomies in the thoracic region? |
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Definition
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Term
| Why is the thoracotomy approach for diskectomies popular? |
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Definition
| Because of the small diameter of the thoracic spinal canal. |
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Term
| What is an alternative approach? |
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Definition
| Removal of the medial segment of a rib and transverse process to expose the intervertebral disk. |
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Term
| What is often used as an autograft bone material? |
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Definition
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Term
| What approach is utilized for placement of rods and pedicle screws? |
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Definition
| Anterior/Posterior Thoracic Approach |
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Term
| What is placed and secured during a thoracotomy? |
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Definition
| Screws, rods, or fusion material. |
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Term
| Patient is turned onto the ___ ___ to a prone position? |
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Definition
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Term
| Once in prone position what needs to be done? |
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Definition
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Term
| What diagnostic tests and procedures are used? |
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Definition
| Radiographic films, CT, or MRI scanning. |
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Term
| What instruments are used for this approach due to the depth of the operative site? |
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Definition
| Long rongeurs and curettes. |
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Term
| What table is used if intraoperative flouroscopy is needed, as beanbag will interfere? |
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Definition
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Term
| What kind of tube may be used to allow for deflation of the lung? |
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Definition
| Double-lumen endotracheal tube. |
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Term
| What incision is made and what muscles transected? |
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Definition
| Thoracotomy and Latissimus Dorsi |
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Term
| Once parietal pleura is opened, what is placed? |
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Definition
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Term
| Segmental vessels are ligated with hemoclips and transected to do what? |
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Definition
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Term
| Ribs are reapproximated with what? And sutured with what? |
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Definition
| With a Bailey and with heavy absorbable suture. |
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