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Peter D. Angevine and Paul C. McCormick

steps have been evolutionary rather than revolutionary. Uribe and colleagues 8 present the results of a multicenter retrospective review of 60 patients who were surgically treated via a lateral approach. A lateral transthoracic approach to the thoracic spine was applied using an expandable, split-blade retractor system. In a minority of cases the dissection remained extrapleural. Once the necessary exposure was achieved, standard techniques were used for the decompression and any necessary stabilization. The technique is very similar to that described by one of the

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Juan S. Uribe, William D. Smith, Luiz Pimenta, Roger Härtl, Elias Dakwar, Urvij M. Modhia, Glen A. Pollock, Vamsi Nagineni, Ryan Smith, Ginger Christian, Leonardo Oliveira, Luis Marchi and Vedat Deviren

, who reported decreased procedural morbidity and improved patient outcomes. But this approach has drawbacks, including access limitations to the contralateral disc without spinal cord retraction, a limited working window to perform osteotomies or broader decompressions for large or highly calcific TDH, and the need for rhizotomy in most cases. 2 , 9 , 13 , 24 , 30 This experience led to the adoption of a transthoracic approach during the late 1960s, via thoracotomy, recognized for its utility in midline and transdural thoracic lesions, with the approach quickly

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was no significant difference in age or gender distribution. Patients undergoing a transthoracic approach had a significantly longer length of stay (LOS) and post-op ICU days. However, there was no significant difference in pre- or post-operative local or regional cobb angles, nor was the change in cobb angle different (p > 0.05). Conclusion: In this small cohort, similar correction of kyphosis was obtained via both anterior transthoracic and lateral extracavitary corpectomy. However, patient's undergoing the lateral extracavitary approach had significantly