{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:33:43Z","timestamp":1762875223409},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p>Lateral extracavitary and costotransversectomy approaches have been well described, and they are useful for posterior thoracic corpectomies. However, these approaches require pleural dissection and are associated with welldocumented morbidities, including hemothorax, pneumothorax, and pneumonia. But without removing the rib head, the window through which an expandable cage can be placed from a posterior approach is narrow. Thus, smaller nonexpandable mesh cages or methylmethacrylate constructs are commonly used for anterior column reconstruction. The authors describe a technique of using a \u201ctrap-door\u201d rib-head osteotomy that avoids pleural dissection, yet allows a large expandable cage to be placed from an entirely posterior approach.<\/jats:p>","DOI":"10.3171\/2008.10.spi08433","type":"journal-article","created":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T20:52:36Z","timestamp":1230929556000},"page":"40-45","source":"Crossref","is-referenced-by-count":30,"title":["Trap-door rib-head osteotomies for posterior placement of expandable cages after transpedicular corpectomy: an alternative to lateral extracavitary and costotransversectomy approaches"],"prefix":"10.3171","volume":"10","author":[{"given":"Dean","family":"Chou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent Y.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0010040","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"211","DOI":"10.3171\/jns.1996.85.2.0211","article-title":"Single-stage posterior vertebrectomy and replacement combined with posterior instrumentation for spinal metastasis","volume":"85","author":"Akeyson","year":"1996"},{"key":"b2-0010040","series-title":"Principles and Practice of Spine Surgery","author":"Bassewitz","year":"2003"},{"key":"b3-0010040","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2240","DOI":"10.1097\/00007632-200009010-00016","article-title":"Singlestage posterolateral transpedicle approach for spondylectomy, epidural decompression, and circumferential fusion of spinal metastases","volume":"25","author":"Bilsky","year":"2000"},{"key":"b4-0010040","series-title":"J Neurosurg","first-page":"42","article-title":"Palliative subtotal vertebrectomy with anterior and posterior reconstruction via a single posterior approach","volume":"90","author":"Cahill","year":"1999"},{"key":"b5-0010040","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1016\/j.jocn.2007.08.027","article-title":"Rib-head osteotomies for posterior placement of expandable cages in the treatment of metastatic thoracic spine tumors","volume":"15","author":"Chou","year":"2008"},{"key":"b6-0010040","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/0090-3019(91)90005-T","article-title":"Spinal cord decompression via a modified costotransversectomy approach combined with posterior instrumentation for management of metastatic neoplasms of the thoracic spine","volume":"35","author":"Cybulski","year":"1991"},{"issue":"2","key":"b7-0010040","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spine. 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