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October 1, 2025Operative NeurosurgeryOpen Access

Anatomy of the Long Thoracic Nerve in Relation to Thoracotomy for Spinal Approaches: How to Avoid Nerve Injury?

Anhelina Khadanovich Michal Beneš Radek Kaiser Jeremy Reynolds Gerard Mawhinney Jan Štulík David Kachlík

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Key Points

The long thoracic nerve's positioning is critical during thoracotomy, impacting surgical outcomes.
Dissection results showed the nerve often branched at the fourth intercostal space, providing essential data for surgical planning.
Thoracotomy incision placements should consider nerve location to mitigate injury risks effectively.
Thoracoscopy portal incisions must align with the anterior spinal border to further reduce the possibility of nerve damage.

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Implication

This analysis describes the long thoracic nerve's location in thoracotomy and thoracoscopy, highlighting strategies to avoid injury.

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Cite This Study

Khadanovich et al. (2025) studied this question.

synapsesocial.com/papers/68de6f3a83cbc991d0a229bd https://doi.org/10.1227/ons.0000000000001800

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