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OBJECTIVE The pedicle-rib unit is regarded as an "expanded" pedicle and is a new approach to thoracic pedicle fixation. Previous studies were mostly focused on anatomic, radiographic and biomechanical assessment. However, there is no study on anatomical relationship of bony structures in pedicle-rib unit. This article aims to investigate the anatomical relationships between transverse process, pedicle, rib and corresponding vertebrae body in pedicle-rib unit, so as to improve the clinical safety of the pedicle-rib unit screw placement. M