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 |