TY - JOUR
T1 - A transsternal approach to the upper thoracic vertebrae
AU - Sundaresan, Narayan
AU - Shah, Jatin
AU - Feghali, Joseph G.
PY - 1984/10
Y1 - 1984/10
N2 - An anterior surgical approach to the upper thoracic vertebrae has been described. A T-shaped skin incision is used, with the horizontal limb 1 cm above the clavicle, and the vertical limb extending in the midline over the body of the sternum. A portion of the manubrium sterni, as well as the medial third of the clavicle, is resected; the avacular tissue plane between the carotid sheath laterally and the trachea and esophagus medially is developed to reach the prevertebral space. After surgery, immediate fusion is performed using the clavicle and manubrium. This procedure is well tolerated, and was associated with minimal morbidity and no mortality in a series of seven patients.
AB - An anterior surgical approach to the upper thoracic vertebrae has been described. A T-shaped skin incision is used, with the horizontal limb 1 cm above the clavicle, and the vertical limb extending in the midline over the body of the sternum. A portion of the manubrium sterni, as well as the medial third of the clavicle, is resected; the avacular tissue plane between the carotid sheath laterally and the trachea and esophagus medially is developed to reach the prevertebral space. After surgery, immediate fusion is performed using the clavicle and manubrium. This procedure is well tolerated, and was associated with minimal morbidity and no mortality in a series of seven patients.
UR - https://www.scopus.com/pages/publications/0021163784
U2 - 10.1016/0002-9610(84)90372-6
DO - 10.1016/0002-9610(84)90372-6
M3 - Article
C2 - 6486315
AN - SCOPUS:0021163784
SN - 0002-9610
VL - 148
SP - 473
EP - 477
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 4
ER -