J Korean Neurosurg Soc.  1991 Aug;20(8):693-698.

Sternum-Splitting Approach for Anterior Space-Taking Lesions in the Upper Thoracic Lesion

• Cho YJ
• Hwang JH
• Ahn MS

Abstract

Recently we performed a modified sternum-splitting approach in surgery for anterior space-taking lesion in the upper thoracic region. In contrast to the original trans-sternal approach introduced by Cauchoix, we cut only the manubrium and split it using vertebral spreader. After reaching the anterior surface of the cervico-Thoracic vertebrae, the central portion of the vertebral body was removed with air-drill under an operating microscope. The longitudinal bone defect of the vertebral bodies was filled with a bone graft obtained from the iliac bone. Removal of the space-taking lesions in the cervico-thoracic junction and upper thoracic region can be performed safely by utilizing the modified sternum-splitting approach. This approach can be applied also to endarterectomies at the origins of the vertebral arteries and the subclavian artery.

Keyword

Cervico-thoracic junction; Operative technique; Microsurgery

MeSH Terms

Endarterectomy
Manubrium
Microsurgery
Spine
Subclavian Artery
Transplants
Vertebral Artery