'Trap door' exposure of the cervicothoracic junction Journal Article


Authors: Nazzaro, J. M.; Arbit, E.; Burt, M.
Article Title: 'Trap door' exposure of the cervicothoracic junction
Abstract: This report describes a 'trap door' exposure of the cervicothoracic junction. The method combines a standard anterior approach to the spine along the medial border of the sternocleidomastoid muscle with both a partial median sternotomy and an anterolateral thoracotomy. Transection of the clavicle is not required and the sternoclavicular joint is preserved. With this method, all important ventral paravertebral vessels, nerves, and associated soft tissue are fully identified and readily mobilized as needed. The method provides full bilateral anterior exposure from the C-4 through at least the T-3 vertebral levels, as well as unilateral anterolateral access to the upper thoracic spine.
Keywords: surgical technique; thoracotomy; surgical approach; spinal cord tumor; sternotomy; spinal metastasis; spinal cord decompression; cervicothoracic junction; spinal neoplasm; priority journal; article; vertebrectomy; spinal decompression
Journal Title: Journal of Neurosurgery
Volume: 80
Issue: 2
ISSN: 0022-3085
Publisher: American Association of Neurological Surgeons  
Date Published: 1994-02-01
Start Page: 338
End Page: 341
Language: English
DOI: 10.3171/jns.1994.80.2.0338
PROVIDER: scopus
PUBMED: 8283277
DOI/URL:
Notes: Export Date: 14 January 2019 -- Article -- Source: Scopus
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  1. Ehud   Arbit
    66 Arbit
  2. Michael E. Burt
    187 Burt