Trans-spinal Ganglionectomy for Relief of Intercostal Pain

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Figures

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    A. Interlaminary exposure of lateral dura and spinal nerve ganglion at multiple thoracic levels. B. Silver clip is applied as shown and spinal nerve sectioned proximal to the ganglion. As the ganglion is elevated, the rami communicantes are avulsed with the nerve hook.

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    Postoperative x-ray film showing position of silver clips. At each of three levels, the medial silver clip placed on the dural cuff proximal to the ganglion, prior to section. The lateral silver clip was placed on the main branch of the intercostal nerve prior to amputation of the nerve, and lies in the extra-pleural periphery of the pulmonary cavity.

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