{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:06:16Z","timestamp":1784739976532,"version":"3.55.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Surgical access to the upper thoracic vertebral bodies, defined as T1-T5, remains a technical challenge. The anterior extrapleural approach provides excellent visualization and access to the thoracic vertebrae; however, it remains a challenge due to the presence of the great vessels, sternum and trachea. Herein, we describe the case of a 16-year-old boy with avoidant\/restrictive food intake disorder and autism spectrum disorder, who presented with lower limb paraparesis following a traumatic hyperflexion injury. Imaging revealed a T2 pathological burst fracture due to spinal haemangioma and osteopenia. Thoracic vertebral decompression and stabilization were performed through an anterior extrapleural approach using a median sternotomy combined with a lateral cervical incision. This approach provided excellent exposure of the anterior upper thoracic vertebral bodies.<\/jats:p>","DOI":"10.1093\/icvts\/ivag161","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T11:40:09Z","timestamp":1779536409000},"source":"Crossref","is-referenced-by-count":0,"title":["Extrapleural Approach for Thoracic Vertebral Stabilization"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9981-1123","authenticated-orcid":false,"given":"Igor E","family":"Konstantinov","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Royal Children\u2019s Hospital , Melbourne, Victoria, 3052,","place":["Australia"]},{"name":"Department of Paediatrics, University of Melbourne , Melbourne, Victoria, 3052,","place":["Australia"]},{"name":"Heart Research Group, Murdoch Children\u2019s Research Institute , Melbourne, Victoria, 3052,","place":["Australia"]},{"name":"Melbourne Centre for Cardiovascular Genomics and Regenerative Medicine , Melbourne, Victoria, 3052,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1940-6448","authenticated-orcid":false,"given":"Vincent H","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Royal Children\u2019s Hospital , Melbourne, Victoria, 3052,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Royal Children\u2019s Hospital , Melbourne, Victoria, 3052,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amine","family":"Mazine","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Royal Children\u2019s Hospital , Melbourne, Victoria, 3052,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"2026072212470035100_ivag161-B1","first-page":"234","article-title":"Anterior surgical approaches to the spine","volume":"21","author":"Cauchoix","year":"1957","journal-title":"Ann R Coll Surg Engl"},{"key":"2026072212470035100_ivag161-B2","doi-asserted-by":"crossref","first-page":"160","DOI":"10.3171\/2009.9.SPINE09471","article-title":"Cervicosternotomy as an anterior approach to the upper thoracic and cervicothoracic spinal junction","volume":"12","author":"Fuentes","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"2026072212470035100_ivag161-B3","first-page":"187","article-title":"Extrapleural thoracoscopic anterior spinal fusion: a modified video-assisted thoracoscopic surgery approach to the pediatric spine","volume":"5","author":"Islam","year":"2001","journal-title":"JSLS"},{"key":"2026072212470035100_ivag161-B4","doi-asserted-by":"crossref","first-page":"349","DOI":"10.3171\/jns.1991.75.3.0349","article-title":"Lateral parascapular extrapleural approach to the upper thoracic spine","volume":"75","author":"Fessler","year":"1991","journal-title":"J Neurosurg"},{"key":"2026072212470035100_ivag161-B5","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1111\/j.1540-8191.2008.00800.x","article-title":"Sternal stabilization by interlocking wires: an alternative simple technique for high-risk patients","volume":"24","author":"Konstantinov","year":"2009","journal-title":"J Card Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag161\/68397496\/ivag161.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/7\/ivag161\/68397496\/ivag161.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/7\/ivag161\/68397496\/ivag161.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T16:47:11Z","timestamp":1784738831000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag161\/8694672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag161","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,5,26]]},"article-number":"ivag161"}}