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A surgical approach to the cervicothoracic spine
R Birch1, G Bonney, R W Marshall
1St. Mary's Hospital, Paddington, London, England.
The Journal of Bone and Joint Surgery. British Volume
|September 1, 1990
Summary
This study introduces a surgical approach for the lower cervical and upper thoracic spine, and brachial plexus. The technique involves elevating specific manubrium and clavicle sections, showing good results in 17 patients.
Area of Science:
- Surgical Anatomy
- Neurosurgery
- Thoracic Surgery
Background:
- Accessing the lower cervical and upper thoracic spine, brachial plexus, and associated vasculature presents significant surgical challenges.
- Minimally invasive and effective surgical approaches are crucial for improving patient outcomes in this complex anatomical region.
Purpose of the Study:
- To describe a novel surgical method for exposing the lower cervical and upper thoracic spine, brachial plexus, and related vessels.
- To evaluate the safety and efficacy of this new surgical approach.
Main Methods:
- The described method involves a unique surgical exposure utilizing the elevation of the medial manubrium, sternoclavicular joint, and medial clavicle.
- This elevation is performed on a pedicle of the sternomastoid muscle, creating a corridor for surgical access.
- The technique was applied in a series of 17 surgical cases.
Main Results:
- The surgical approach was successfully performed in 17 cases.
- The procedure was associated with a low rate of complications.
- Good clinical outcomes were reported in patients undergoing this surgical method.
Conclusions:
- The described surgical approach provides effective access to the lower cervical spine, upper thoracic spine, and brachial plexus.
- Successful implementation requires meticulous surgical technique, advanced anesthesia, and comprehensive postoperative care.
- This method offers a viable option for surgeons operating in this challenging anatomical area.