An Anatomical Method for Rib Disconnection During Posterior Costotransversectomy for Paravertebral Access to the Ventral Thoracic Spine Article

Full Text via DOI: 10.1016/j.wneu.2022.03.099 Web of Science: 000877125800008

Cited authors

  • Lee SJ, Damon A, Pichelmann MA, Tubbs RS, Lehman RA, Martin AK, Clifton W


  • OBJECTIVE: Posterior costotransversectomy in the thoracic spine is commonly used for degenerative diseases, tumors, trauma, and other operative indications. It involves resection of the rib head after the ligamentous complexes have been disconnected from the transverse process and lateral vertebral body. The current literature provides only vague descriptions of the steps involved in rib disconnection with respect to posterior costotransversectomy.METHODS AND RESULTS: Through cadaveric studies and in vivo application, a stepwise method for rib disconnection is described.CONCLUSIONS: This manuscript is the first to outline an anatomical method for rib disconnection during costotransversectomy.

Publication date

  • 2022

Published in

International Standard Serial Number (ISSN)

  • 1878-8750

Number of pages

  • 7

Start page

  • 367

End page

  • 373


  • 164