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John H. Chi, Sanjay S. Dhall, Adam S. Kanter and Praveen V. Mummaneni

with improved safety and clinical outcomes. 6 , 8 , 21 , 22 However, these open approaches require significant muscle transection and ligamentous detachment, which may contribute to postoperative pain and instability. The transthoracic approach was first introduced by Ransohoff et al. in 1969, 31 and although clinical outcomes were good, the requirement of an open thoracotomy for adequate exposure was a major disadvantage. 1 , 3 , 34 , 35 The thoracoscopic approach, pioneered by Dickman and colleagues, provides direct ventral exposure to the disc space and allows

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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