A method is described in which anterior fusion of the thoracic vertebral co
lumn is performed using a rib strut graft maintained on its vascular pedicl
e. This straightforward technique is useful in selected patients undergoing
anterior thoracic fusion procedures and can be used in conjunction with ot
her anterior spinal implants. By maintaining bone graft blood supply, this
technique promotes an optimum fusion environment, which may enhance the spe
ed of graft incorporation and the ultimate strength of the construct.