Anterior surgical management of the cervicothoracic junction lesions at T1 and T2 vertebral bodies

Arquivos de Neuro-Psiquiatria

Asdrubal Falavigna²  Orlando Righesso¹  Darcy Ribeiro Pinto-filho¹  Alisson Roberto Teles¹ 

[1] ,Universidade de Caxias do Sul Hospital Saúde Department of NeurosurgeryCaxias do Sul RS ,Brazil

关键词: spine;    cervicothoracic junction;    instability;    surgical treatment;    coluna;    junção cervico-torácica;    instabilidade;    tratamento cirúrgico;   

DOI  :  10.1590/S0004-282X2008000200011

来源: SciELO

【 摘 要 】

Lesions of the cervicothoracic junction have a high propensity for causing instability and present unique challenges in the surgical treatment. Several surgical approaches to this region have been described in the literature. We report our experience in the surgical treatment of six patients with unstable lesions involving the cervicothoracic junction at T1 and T2 vertebral bodies. The patients underwent an anterior left Smith-Robinson approach and manubriotomy. Mesh and cervical plate system were used for stabilization and reconstruction of the region. No complication related to the surgical procedure was observed. In our experience, in injuries involving the T1 and T2 vertebral bodies, the transmanubrial approach offers good working room to remove the lesions and anterior reconstruction.

【 授权许可】

CC BY   
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