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Related Experiment Videos

A transsternal approach to the upper thoracic vertebrae.

N Sundaresan, J Shah, J G Feghali

    American Journal of Surgery
    |October 1, 1984
    PubMed
    Summary

    A novel anterior surgical approach provides access to the upper thoracic vertebrae. This minimally invasive technique, involving sternal and clavicular resection, demonstrated safety and effectiveness in seven patients.

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    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Thoracic Surgery

    Background:

    • Accessing the upper thoracic spine anteriorly presents significant surgical challenges.
    • Existing anterior approaches may involve substantial morbidity.

    Purpose of the Study:

    • To describe a new anterior surgical approach for accessing the upper thoracic vertebrae.
    • To evaluate the safety and feasibility of this novel technique.

    Main Methods:

    • A T-shaped skin incision was utilized.
    • Resection of the manubrium sterni and medial clavicle facilitated access.
    • Development of an avascular plane between critical structures (carotid sheath, trachea, esophagus) to reach the prevertebral space.
    • Immediate spinal fusion using resected bone grafts.

    Main Results:

    • The described anterior surgical approach successfully accessed the upper thoracic vertebrae.
    • The procedure was well-tolerated by all seven patients.
    • Minimal morbidity and no mortality were observed in the patient cohort.

    Conclusions:

    • This anterior surgical approach offers a viable and safe method for upper thoracic spine procedures.
    • The technique allows for immediate fusion, potentially improving outcomes.
    • Further investigation is warranted to establish its broader clinical utility.

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