The authors describe a technique for anterior thoracic decompression via a posterolateral approach for spinal metastatic disease followed by anterior and posterior column stabilization. We discuss the benefits of decompression via a posterolateral approach including minimization of cord retraction, avoidance of thoracotomy, early mobilization and shorter hospital stay. Technical details are rev...

BACKGROUND Fracture of the posterolateral tibial plateau is relatively uncommon. While surgical treatment by the posterior approach is theoretically ideal, this approach is associated with numerous complications. We describe a series of fractures of the posterolateral tibial plateau treated by the anterior surgical approach. METHODS Fifteen patients with posterolateral tibial plateau fracture...

BACKGROUND The optimal surgical exposure to the posterior ankle for trauma and reconstruction is a source of debate. We hypothesized that the Achilles tendon-splitting approach would provide greater exposure to the posterior ankle than the posterolateral approach. METHODS Forty surgical approaches were performed from twenty fresh-frozen cadavers. Achilles tendon-splitting and posterolateral a...

BACKGROUND AND PURPOSE Recent studies have shown that compared to the posterolateral approach, the anterolateral approach reduces the risk of dislocation after hip arthroplasty in patients with femoral neck fractures. We have therefore started to use the anterolateral approach on these patients and we now report the consequences of this change for the dislocation rate. PATIENTS AND METHODS We...

BACKGROUND In patients who have difficulty sitting, thoracentesis is attempted in a supine position via lateral approach. Recently, a new table has been designed for supine thoracentesis. This table has gaps that allow access to the posterolateral and posterior hemithorax. OBJECTIVES To compare important safety-related parameters between lateral, posterolateral, and posterior approaches in su...

The purpose of this study was to compare the acetabular component alignment in patients undergoing primary total hip arthroplasty (THA) via 3 surgical techniques: direct anterior using intraoperative fluoroscopy, posterolateral using an external alignment guide (posterolateral conventional), and posterolateral using computer navigation (posterolateral navigated). Two surgeons performed the dire...