Injury to the T11L1 Segment

Neural compression is usually anterior. The techniques to decompress this segment of the spine are anterior, postero-lateral and posterior.

Anterior approaches to T11 involve a thoracotomy incision, whereas exposure of T12 and L1 requires a thoracoabdominal approach. This approach may be utilized in incomplete cord lesions or cauda equina lesions with anterior compression. The patient is placed in the lateral decubitus position and the lung is retracted to expose the vertebral column. The pedicle at the fracture site is identified and decompression is accomplished when a vertebrectomy with bone grafting is performed. This procedure is con-traindicated when there is evidence of posterior neural compression.

The postero-lateral approaches include the extracavitary and costotransversectomy procedures. Both require the patient to be in the prone position and can be used for cases in which the patient presents with incomplete cord or cauda equina injury with anterior and antero-lateral compression. These techniques also require the removal of at least one rib and transverse processes to gain exposure to the

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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