Anterior surgical management of the cervicothoracic junction lesions at T1 and T2 vertebral bodies

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Anterior surgical management of the cervicothoracic junction lesions at T1 and T2 vertebral bodies.

Lesions of the cervicothoracic junction have a high propensity for causing instability and present unique challenges in the surgical treatment. Several surgical approaches to this region have been described in the literature. We report our experience in the surgical treatment of six patients with unstable lesions involving the cervicothoracic junction at T1 and T2 vertebral bodies. The patients...

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Anterior Cervicothoracic Junction Approach

Surgical approaches to the cervicothoracic junction frequently involve complicated dissection because of the restricted accessibility during the procedure and the close proximity of the great vessels. Common indications for surgical intervention include infections, neoplasms, and fractures. Approaches described here are useful for pathologies of the difficult-to-access upper thoracic spine (T1–...

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Dislocations at the cervicothoracic junction.

Dislocations of the cervicothoracic junction are frequently missed. Experience of this rare injury over 27 years at the Spinal Injuries Unit in Sheffield confirms that nearly two-thirds were not properly diagnosed on admission. Only two of the 14 dislocations studied were reduced by conservative methods and these were both associated with fractures of the posterior bony elements. Open reduction...

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Morphometric Relationship between the Cervicothoracic Cord Segments and Vertebral Bodies

OBJECTIVE The objective of this study was to investigate the morphologic characteristics between the vertebral body and the regions of the cervical and thoracic spinal cords where each rootlets branch out. METHODS Sixteen adult cadavers (12 males and 4 females) with a mean age of 57.9 (range of 33 to 70 years old) were used in this study. The anatomical relationship between the exit points of...

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Results of the transsternal approach to cervicothoracic junction lesions.

AIM Surgery for lesions involving the anterior column of the cervicothoracic junction is still challenging. The median transsternal approach provides a direct approach to this junction. The aim of this study was to present the results of cases operated using the median transsternal approach. MATERIAL AND METHODS There were 8 cases (7 males, 1 female) aged between 18-39 (mean 28.2) years. The ...

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ژورنال

عنوان ژورنال: Arquivos de Neuro-Psiquiatria

سال: 2008

ISSN: 0004-282X

DOI: 10.1590/s0004-282x2008000200011