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Anterior column reconstruction and posterior instrumentation illustration (lesion and kyphotic at thoracal 8-9 vertebra). (a) Resection at lesion level thoracal 8-9 vertebra. (b) Pedicle screw placement at 3 level vertebra upper and lower from resection area. (c) Inserting rod to the pedicle screw fixation. (d) Kyphotic correction with pedicle rod system. (e) inserting cage to resection area to done the anterior reconstruction.
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The posterior approach to the anterior spine has long been an attractive option for spinal surgeons (Fig. 1).
Kyphotic correction with modified lateral extracavitary approach. (a) Preoperative Xray-MRI with local/regional kyphotic 90.30, and lesion at Th11-L1 vertebrae due to spondylitis tuberculosis. (b) Post operative Xray with correction local/regional kyphotic 26.50.
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In our series, we successfully used the lateral extracavitary approach to perform circumferential anterior column reconstruction for kyphotic deformity, with an anterior cage and supplemental instrumented posterior at least two - three levels above and below resection (Fig. 2).