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Anterior approach to the upper thoracic vertebrae
1King Edward VIII Hospital, South Africa.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1989
Summary
This study presents a modified surgical approach for accessing the upper thoracic spine. The technique, involving clavicle and manubrium excision, proved useful and safe in 10 patients.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Thoracic Surgery
Background:
- Standard anterior approaches to the upper thoracic spine present significant challenges.
- Limited exposure often compromises surgical outcomes in this region.
Purpose of the Study:
- To evaluate the utility and safety of a modified anterior surgical technique for upper thoracic spine exposure.
- To describe the experience with excising the medial clavicle and manubrium for spinal access.
Main Methods:
- A retrospective review of 10 cases utilizing the Sundaresan et al. (1984) modified approach.
- Surgical technique involves resection of the medial clavicle and a portion of the manubrium sterni.
Main Results:
- The modified technique provided adequate exposure for upper thoracic spine procedures.
- The procedure was found to be both useful and safe across the 10 cases studied.
Conclusions:
- This modified anterior approach offers a viable solution for challenging upper thoracic spine exposures.
- The technique is a safe and effective option for surgeons operating in this anatomical area.