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In 1983, Estrera et al suggested that thoracotomy should be performed only when the infectious process has extended below the carina anteriorly and beyond the fourth thoracic vertebra posteriorly. As he flipped into a gravel trap, his bike hit his back, snapping his sixth thoracic vertebra and leaving him paralyzed from the waist down. Measurements of scapular position are taken bilaterally from the inferior angle of the scapula to the spinous process of the thoracic vertebra in the same horizontal plane (the reference vertebra) in all 3 test positions. |
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