[Surgical treatment of patients with cervicothoracic and upper thoracic spinal abnormalities]

The authors have developed an approach to cervicothoracic and upper thoracic spine for surgical treatment of patients with tuberculous spondylitis complicated by severe kyphotic deformity, which allows one to make the entire scope of reparative surgical intervention under visual guidance from the fifth cervical vertebra to the ninth thoracic one with the minimum traumaticity and preserved muscle integrity. This is performed through the periscapular triangle by diverting the scapula cranially without dissecting its fixing muscles, the musculus latissimus dorsa caudally. The third or fourth rib is resected in relation to the site of a pathological process.