Accessibility of the Cervicothoracic Junction Through an Anterior Approach: An MRI-based Algorithm

Spine
Harry T MaiWellington K Hsu

Abstract

Cross-sectional observational study. To formulate a reliable method and modality for preoperative planning and to determine the effects of height, body mass index (BMI), and age on accessibility to the upper thoracic vertebrae through an anterior cervical approach. Various modalities have been proposed to determine the lowest spinal-level accessible through a traditional anterolateral cervical approach and the consequent need for manubriotomy. Past methods have routinely involved a variety of imaging studies such as plain radiographs and computed tomography but the reliability of these methods has not been assessed. The Magnetic Resonance Imaging (MRI) images of 180 patients classified by age and gender were evaluated and the most caudal accessible intervertebral disc space was determined from an approach angle beginning at the suprasternal notch. Plain cervical radiographs were also reviewed when available. In patients with multiple imaging studies, the reliability of the measurements was compared. Rate of accessibility was compared across different heights, BMIs, and ages. A novel algorithm that utilized both the scout and mid-sagittal T2 MRIs was able to determine the most caudal cervicothoracic level accessible for anterior...Continue Reading

References

May 1, 1980·AJR. American Journal of Roentgenology·G T FonA C Thies
Nov 15, 1994·Spine·H S AnS Lin
Mar 1, 1996·The Annals of Thoracic Surgery·R M El Oakley, J E Wright
Jun 14, 2002·The Journal of Bone and Joint Surgery. American Volume·Keith D K LukJohn C Y Leong
Aug 19, 2003·American Journal of Physical Anthropology·Izzet Duyar, Can Pelin
Dec 1, 1952·American Journal of Physical Anthropology·M TROTTER, G C GLESER
Aug 18, 2005·Obesity Surgery·Shirley Aparecida Fabris de SouzaRoberta Donadio de Melo
Apr 26, 2007·Journal of Magnetic Resonance Imaging : JMRI·Richard C SemelkaWalter Huda
Aug 30, 2008·Clinical Orthopaedics and Related Research·Yi-Lin LiuLi-Min Wang
Oct 17, 2009·Neurosurgery·Isaac O KarikariRobert E Isaacs
Dec 17, 2009·Archives of Internal Medicine·Rebecca Smith-BindmanDiana L Miglioretti
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
Jul 26, 2011·Journal of Neurosurgery. Spine·Fred C Lam, Michael W Groff
Dec 4, 2012·The Neuroscientist : a Review Journal Bringing Neurobiology, Neurology and Psychiatry·Sukhvinder Kalsi-RyanMichael G Fehlings
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
Aug 22, 2013·Spine·Spyridon K KaradimasMichael G Fehlings
Sep 5, 2013·Journal of Korean Neurosurgical Society·Ji Hoon ParkJae Keun Oh

❮ Previous
Next ❯

Citations

May 18, 2016·Clinical Spine Surgery : a Spine Publication·Shah-Jahan M DodwadWellington K Hsu

❮ Previous
Next ❯

Software Mentioned

MedCalc

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.