Surgical Approaches Ii—Thoracolumbar Spine Publisher



Halalmeh DR^{1, 2} ; Sourani A^{3, 4} ; Alnuaimy Y⁵ ; Ansari YZ⁶ ; Bauer J⁷ ; Moisi MD^{1, 2}
Source: Osteomyelitis and Discitis of the Spine: A Guide for the Management of Infectious Etiology of the Vertebral Column and Neurological Components Published:2024

Abstract

This chapter delves deeply into the intricate landscape of surgical approaches tailored to address the complexities of the thoracic spine. It not only elucidates the specific considerations pertinent to this region and its adjoining structures but also sheds light on the nuanced anatomical and biomechanical characteristics that pose both challenges and opportunities for surgical intervention. Given the distinct nature of the thoracic spine, effective management demands a bespoke approach, one that intricately weaves together a myriad of surgical techniques and meticulous procedural protocols. The comprehensive discussion spans several key approaches pertinent to managing spine osteomyelitis and discitis (SOMD), providing invaluable insights into navigating through these intricate pathologies. The chapter also emphasizes the importance of thorough debridement in infection management, the role of reconstruction and fusion using bone grafts, and the critical aspects of postoperative care to ensure proper wound healing and reduce complications. By utilizing a variety of surgical techniques and adhering to meticulous procedural protocols, optimal outcomes can be achieved while minimizing complications. © 2025 Elsevier Increserved, including those for text and data mining, AI training, and similar technologies.