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Which approach is popular for diskectomies in the thoracic region? |
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Definition
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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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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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What is often used as autograft bone material? |
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Definition
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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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Once in prone position what needs to be done? |
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Definition
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What diagnostic tests & 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
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What table is used if intraoperative flouroscopy is needed, as beanbag will interfere? |
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Definition
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Definition
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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 & Latissimus dorsi and other muscles |
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Term
rib resected with what to gain exposure? |
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Definition
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What is taken to verify correct level? |
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Definition
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Once partial pleura is opened what is placed? |
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Definition
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What is cleared with blunt dissection |
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Definition
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Segmental vessels are ligated with hemoclips and transected to do what? |
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Definition
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Term
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Definition
Diskectomy, decompression, or fusion |
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Term
Ribs are reapproximated with what? And sutured with? |
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Definition
With a Bailey and with Heavy absorbable suture |
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