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Journal of Bone and Joint Surgery, 1949;31:873-878.
© 1949 by The Journal of Bone and Joint Surgery, Inc


SURGICAL APPROACH TO THE VERTEBRAL BODY

Arthur A. Michele M.D.1 and Frederick J. Krueger M.D.1

1 Department of Orthopaedic Surgery of the United States Marine Hospital, Staten Island, New York

Five methods of direct approach to the thoracic and lumbar vertebral bodies have been presented. In each instance, the surgeon should select that procedure which is safest for the particular vertebral body involved. By approaching the vertebral body directly through definite bone channels which can be readily exposed, the selected portions of the body contents are made available for diagnosis and subsequent therapy. These methods are particularly valuable in those cases in which the lesion is confined to the vertebral body, and no other sources of biopsy or culture material are available upon which to base a diagnosis. Moreover, the direct approach facilitates the introduction of penicillin, streptomycin, or other medication into the vertebral body.


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