A perspective for the selection of surgical approaches in patients with upper thoracic and cervicothoracic junction instabilities

Surgical Neurology
Ramazan Alper KayaYunus Aydin

Abstract

To reach the upper thoracic vertebrae, a number of extensive approaches have been proposed. The purpose of this study is to provide a clear perspective for the selection of surgical approaches in patients who undergo vertebral body resection, reconstruction, and stabilization for upper thoracic and cervicothoracic junction instabilities. Seventeen patients with upper thoracic or cervicothoracic junction (C7-T6) instability underwent surgery between January 1999 and May 2004. All patients presented with pain and/or neurological deficits. The causes of instabilities were 10 traumas and 7 pathological fractures. The approach chosen was primarily dictated by 3 factors including (1) type of injury, (2) level of lesion, and (3) time of admission. Ventral surgical approach was performed to all pathological and traumatic fractures causing anterior spinal cord compression. Level of lesion determined the selection of the type of ventral surgical approach, namely, supramanubrial, transmanubrial, or lateral transthoracic. On the other hand, combined (anterior and posterior) approach was performed to all late admitted trauma patients. Twelve anterior, 2 combined (anterior and posterior), and 3 posterior approaches were performed in this stu...Continue Reading

References

Dec 1, 1976·Journal of Neurosurgery·S J LarsonA Sances
Sep 11, 1991·Journal of Neurosurgery·R G FesslerD Peace
Jan 1, 1990·Surgical and Radiologic Anatomy : SRA·M S Jovanovic
Oct 1, 1984·Journal of Neurosurgery·N SundaresanG Rosen
Apr 1, 1995·Journal of Spinal Disorders·R XuW T Jackson
Nov 15, 1994·Spine·H S AnS Lin
Nov 15, 1995·Spine·J G HellerC E Sutterlin
Apr 1, 1996·Journal of Neurosurgery·J R ChapmanM S Grady
Jul 1, 1995·Spine·A S BaileyW T Jackson
Jan 22, 1998·The Annals of Thoracic Surgery·G L WalshJ A Roth
Oct 7, 1998·Journal of Neurosurgery·Z L GokaslanR Sawaya
Sep 14, 1999·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·G SapkasG Kontakis
Jan 9, 2001·Journal of Neurosurgery·J A BoockvarP J Marcotte
Mar 10, 2001·Journal of Spinal Disorders·T KuboY Yamano
Nov 23, 2001·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J C Le HuecS Aunoble
May 29, 2004·Spine·Christian MazelJ Williams
Aug 25, 2004·Neurosurgical Focus·Hoang LeDaniel Kim

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Citations

Mar 16, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alessandro RamieriGiuseppe Costanzo
Jun 16, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yi-Xing HuangJia-Wei He
Apr 9, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yi-xing HuangHua-zi Xu
Feb 4, 2010·Journal of Neurosurgery. Spine·Stéphane FuentesFrançois Grisoli
Mar 5, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Liujun ZhaoNabil A Ebraheim
Jul 11, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Dean ChouVincent Wang
Jun 9, 2007·Neurosurgery Clinics of North America·Vincent Y Wang, Dean Chou
Nov 14, 2007·The Spine Journal : Official Journal of the North American Spine Society·Ramazan Alper KayaYunus Aydin
Jul 15, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kamran V SattarovAli A Baaj
Sep 15, 2012·Journal of Pediatric Surgery·Federica De CortiVincenzo Jasonni
Jun 2, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Weerasak SinghatanadgigeK Daniel Riew
Jun 12, 2008·Arquivos de neuro-psiquiatria·Asdrubal FalavignaAlisson Roberto Teles
Jan 30, 2018·Case Reports in Orthopedics·Tadatsugu MorimotoMasaaki Mawatari
Aug 30, 2008·Clinical Orthopaedics and Related Research·Yi-Lin LiuLi-Min Wang
Nov 6, 2015·Journal of Korean Neurosurgical Society·Jong-Hyun ParkBum-Tae Kim
Mar 5, 2010·Neurosurgery·Wesley HsuDaniel M Sciubba
Apr 25, 2007·British Journal of Neurosurgery·P MetellusF Grisoli
May 11, 2018·British Journal of Neurosurgery·Ran HarelNachshon Knoller
Jul 18, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jia LiuYujing Tang
Dec 8, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Yanzhen LiXin Ni
Mar 24, 2021·Neurosurgical Review·Alberto BalestrinoEnrico Tessitore

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