Sternum-Splitting Approach for Anterior Space-Taking Lesions in the Upper Thoracic Lesion.
- Author:
Young Jun CHO
1
;
Jang Hoe HWANG
;
Myung Soo AHN
Author Information
1. Departments of Neurosurgery, Hallym University, Chunchon, Korea.
- Publication Type:Original Article
- Keywords:
Cervico-thoracic junction;
Operative technique;
Microsurgery
- MeSH:
Endarterectomy;
Manubrium;
Microsurgery;
Spine;
Subclavian Artery;
Transplants;
Vertebral Artery
- From:Journal of Korean Neurosurgical Society
1991;20(8):693-698
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently we performed a modified sternum-splitting approach in surgery for anterior space-taking lesion in the upper thoracic region. In contrast to the original trans-sternal approach introduced by Cauchoix, we cut only the manubrium and split it using vertebral spreader. After reaching the anterior surface of the cervico-Thoracic vertebrae, the central portion of the vertebral body was removed with air-drill under an operating microscope. The longitudinal bone defect of the vertebral bodies was filled with a bone graft obtained from the iliac bone. Removal of the space-taking lesions in the cervico-thoracic junction and upper thoracic region can be performed safely by utilizing the modified sternum-splitting approach. This approach can be applied also to endarterectomies at the origins of the vertebral arteries and the subclavian artery.
