Fig. 6.

Intraoperative photograph showing the repair of a severely displaced left posterior paraspinous rib fracture. The patient is in the prone position. A Thompson retractor is seen at the top. Black arrows point to the left-sided spinal erector muscle, trapezius muscle, and rhomboid muscle. A curved thick black arrow points to the left posterior fracture of the fourth rib, which was reduced and held in place with rib reducing forceps. A plate-bending device is shown, which was used to further bend the precontoured left-sided fourth rib plate against a bent/shaped contoured template.