Timothy Witham Archives - Clinical Tree

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Management of Penetrating Injuries to the Spine

Penetrating spinal injuries (PSIs) encompass a range of traumatic etiologies, from nonmissile injuries such as knife wounds to high-velocity missile injuries such as rifle shots. Historically, most literature on the treatment of PSIs came from the battle fields. However, with…

Posterior Approaches to the Thoracic Spine

Summary of Key Points Posterior approaches are the cornerstone of thoracic spine surgery and are associated with decreased morbidity relative to anterior approaches. The four primary approaches are: midline, transpedicular, costotransversectomy, and lateral extracavitary. The optimal surgical approach depends upon…