Surgery in the cervicothoracic junction with an anterior low suprasternal approach alone or combined with manubriotomy and sternotomy: An approach selection method based on the cervicothoracic angle - Clinical article

Journal of Neurosurgery: Spine

Volumn 10, Issue 6, 2009, Pages 531-542

  Teng, Honglin ^a   Hsiang, John ^c   Wu, Chunlei ^a   Wang, Meihao ^a   Wei, Haifeng ^b   Yang, Xinghai ^b   Xiao, Jianru ^b  

^a WENZHOU MEDICAL UNIVERSITY   (China)

^b SECOND MILITARY MEDICAL UNIVERSITY   (China)

^c SWEDISH MEDICAL CENTER   (United States)

Author keywords

Cervicothoracic angle; Cervicothoracic junction; Magnetic resonance imaging; Surgical approach

Indexed keywords

ADOLESCENT; ADULT; AGED; AORTA ARCH; ARTICLE; BRACHIOCEPHALIC VEIN; CERVICAL SPINE; CONTROLLED STUDY; FEMALE; GREAT BLOOD VESSEL; HUMAN; INTERVERTEBRAL DISK; MAJOR CLINICAL STUDY; MALE; MANUBRIOTOMY; NERVE LESION; NEUROSURGERY; NUCLEAR MAGNETIC RESONANCE IMAGING; SPINAL CORD TUMOR; STELLATE GANGLION; STERNOTOMY; STERNUM; SURGICAL ANATOMY; SURGICAL TECHNIQUE; THORACIC SPINE; THORACOTOMY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; BONE NEOPLASMS; CERVICAL VERTEBRAE; CHONDROSARCOMA; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MANUBRIUM; MIDDLE AGED; PLASMACYTOMA; POSTOPERATIVE CARE; PREOPERATIVE CARE; SPINAL FUSION; SPINAL NEOPLASMS; THORACIC VERTEBRAE; YOUNG ADULT;

EID: 67049114620     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2009.2.SPINE08372     Document Type: Article

References (45)

1. Acosta FL Jr, Aryan HE, Chi J, Parsa AT, Ames CP: Modified paramedian transpedicular approach and spinal reconstruction for intradural tumors of the cervical and cervicothoracic spine: clinical experience. Spine 32:E203-E210, 2007 (Pubitemid 46573319)
2. An HS, Vaccaro A, Cotler JM, Lin S: Spinal disorders at the cervicothoracic junction. Spine 19:2557-2564, 1994
3. An HS, Wise JJ, Xu R: Anatomy of the cervicothoracic junction: a study of cadaveric dissection, cryomicrotomy, and magnetic resonance imaging. J Spinal Disord 12:519-525, 1999 (Pubitemid 30263370)
4. Birch R, Bonney G, Marshall RW: A surgical approach to the cervicothoracic spine. J Bone Joint Surg Br 72:904-907, 1990 (Pubitemid 20286036)
5. Bohlman HH, Freehafer A, Dejak J: The results of treatment of acute injuries of the upper thoracic spine with paralysis. J Bone Joint Surg Am 67:360-369, 1985 (Pubitemid 15102101)
6. Cauchoix J, Binet JP: Anterior surgical approaches to the spine. Ann R Coll Surg Engl 21:234-243, 1957
7. Darling GE, McBroom R, Perrin R: Modified anterior approach to the cervicothoracic junction. Spine 20:1519-1521, 1995
8. DiPaola CP, Jacobson JA, Awad H, Conrad BP, Rechtine GR Jr: Screw pull-out force is dependent on screw orientation in an anterior cervical plate construct. J Spinal Disord Tech 20: 369-373, 2007 (Pubitemid 47016278)
9. Etame AB, Than KD, Wang AC, Marca FL, Park P: Surgical management of symptomatic cervical or cervicothoracic kyphosis due to ankylosing spondylitis. Spine 33:E559-E564, 2008
10. Fraser JF, Diwan AD, Peterson M, O'Brien MF, Mintz DN, Khan SN, et al: Preoperative magnetic resonance imaging screening for a surgical decision regarding the approach for anterior spine fusion at the cervicothoracic junction. Spine 27:675-681, 2002 (Pubitemid 34259932)
11. Gerlis LM, Ho SY: Anomalous subaortic position of the brachiocephalic (innominate) vein: a review of published reports and report of three new cases. Br Heart J 61:540-545, 1989 (Pubitemid 19155651)
12. Hodgson AR, Stock FE: Anterior spinal fusion a preliminary communication on the radical treatment of Pott's disease and Pott's paraplegia. Br J Surg 44:266-275, 1956 (Pubitemid 24085474)
13. Hodgson AR, Stock FE, Fang HS, Ong GB: Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott's disease of the spine. Br J Surg 48: 172-178, 1960
14. Jain S, Sommers E, Setzer M, Vrionis F: Posterior midline approach for single-stage en bloc resection and circumferential spinal stabilization for locally advanced Pancoast tumors. Technical note. J Neurosurg Spine 9:71-82, 2008 (Pubitemid 351948779)
15. Knoller SM, Brethner L: Surgical treatment of the spine at the cervicothoracic junction: an illustrated review of a modified sternotomy approach with the description of tricks and pitfalls. Arch Orthop Trauma Surg 122:365-368, 2002 (Pubitemid 36097240)
16. Kurz LT, Pursel SE, Herkowitz HN: Modified anterior approach to the cervicothoracic junction. Spine 16:S542-S547, 1991
17. Le H, Balabhadra R, Park J, Kim D: Surgical treatment of tumors involving the cervicothoracic junction. Neurosurg Focus 15:E3, 2003
18. Le Huec JC, Lesprit E, Guibaud JP, Gangnet N, Aunoble S: Minimally invasive endoscopic approach to the cervicothoracic junction for vertebral metastases: report of two cases. Eur Spine J 10:421-426, 2001 (Pubitemid 32999802)
19. Lehman RM, Grunwerg B, Hall T: Anterior approach to the cervicothoracic junction: an anatomic dissection. J Spinal Disord 10:33-39, 1997 (Pubitemid 27076549)
20. Lesoin F, Autricque A, Villette L, Jomin M: [Anterior approach to the upper dorsal spine (T1 to T4) using single-stage sterno-biclavicular mobilization.] J Chir (Paris) 123:667-669, 1986 (Fr)
21. Lesoin F, Thomas CE III, Autricque A, Villette L, Jomin M: A transsternal biclavicular approach to the upper anterior thoracic spine. Surg Neurol 26:253-256, 1986 (Pubitemid 16049153)
22. Luk KD, Cheung KM, Leong JC: Anterior approach to the cervicothoracic junction by unilateral or bilateral manubriotomy. A report of five cases. J Bone Joint Surg Am 84:1013-1017, 2002 (Pubitemid 34907251)
23. Maciejczak A, Radek A, Kowalewski J, Palewicz A: Anterior transsternal approach to the upper thoracic spine. Acta Chir Hung 38:83-86, 1999
24. Matsumoto M, Ishii K, Takaishi H, Nakamura M, Morioka H, Chiba K, et al: Extensive total spondylectomy for recurrent giant cell tumor in the thoracic spine. Case report. J Neurosurg Spine 6:600-605, 2007 (Pubitemid 46881531)
25. Micheli LJ, Hood RW: Anterior exposure of the cervicothoracic spine using a combined cervical and thoracic approach. J Bone Joint Surg Am 65:992-997, 1983
26. Mihir B, Vinod L, Umesh M, Chaudhary K: Anterior instrumentation of the cervicothoracic vertebrae: approach based on clinical and radiologic criteria. Spine 31:E244-E249, 2006 (Pubitemid 43785920)
27. Mill MR, Wilcox BR, Detterbeck FC, Anderson RH: Anomalous course of the left brachiocephalic vein. Ann Thorac Surg 55:600-602, 1993 (Pubitemid 23111880)
28. Morhy Borges Leal S, Andrade JL, de Souza M, Mussi Soares A, Penha Tavares GM, Yussef Afiune J, et al: Anomalous subaortic course of the left brachiocephalic (innominate) vein: echocardiographic diagnosis and report of an unusual association. Cardiol Young 12:159-163, 2002 (Pubitemid 41246643)
29. Mulpuri K, LeBlanc JG, Reilly CW, Poskitt KJ, Choit RL, Sahajpal V, et al: Sternal split approach to the cervicothoracic junction in children. Spine 30:E305-E310, 2005
30. Nazzaro JM, Arbit E, Burt M: "Trap door" exposure of the cervicothoracic junction. Technical note. J Neurosurg 80:338-341, 1994 (Pubitemid 24036509)
31. Placantonakis DG, Laufer I, Wang JC, Beria JS, Boland P, Bilsky M: Posterior stabilization strategies following resection of cervicothoracic junction tumors: review of 90 consecutive cases. J Neurosurg Spine 9:111-119, 2008
32. Pointillart V, Aurouer N, Gangnet N, Vital JM: Anterior approach to the cervicothoracic junction without sternotomy: a report of 37 cases. Spine 32:2875-2879, 2007 (Pubitemid 351339359)
33. Resnick DK: Anterior cervicothoracic junction corpectomy and plate fixation without sternotomy. Neurosurg Focus 12:E7, 2002
34. Sapkas G, Papadakis S, Katonis P, Roidis N, Kontakis G: Operative treatment of unstable injuries of the cervicothoracic junction. Eur Spine J 8:279-283, 1999 (Pubitemid 29390129)
35. Sar C, Hamzaoglu A, Talu U, Domanic U: An anterior approach to the cervicothoracic junction of the spine (modified osteotomy of manubrium sterni and clavicle). J Spinal Disord 12:102-106, 1999 (Pubitemid 30263422)
36. Sharan AD, Przybylski GJ, Tartaglino L: Approaching the upper thoracic vertebrae without sternotomy or thoracotomy: a radiographic analysis with clinical application. Spine 25:910-916, 2000 (Pubitemid 30235848)
37. Shimode M, Kojima T, Sowa K: Spinal wedge osteotomy by a single posterior approach for correction of severe and rigid kyphosis or kyphoscoliosis. Spine 27:2260-2267, 2002 (Pubitemid 35192367)
38. Siegal T: Surgical decompression of anterior and posterior malignant epidural tumors compressing the spinal cord: a prospective study. Neurosurgery 17:424-432, 1985 (Pubitemid 15024840)
39. Simon S, Davis M, Odhner D, Udupa J, Winkelstein B: CT imaging techniques for describing motions of the cervicothoracic junction and cervical spine during flexion, extension, and cervical traction. Spine 31:44-50, 2006 (Pubitemid 43348193)
40. Sundaresan N, Shah J, Foley KM, Rosen G: An anterior surgical approach to the upper thoracic vertebrae. J Neurosurg 61:686-690, 1984 (Pubitemid 14000598)
41. Turner PL, Webb JK: A surgical approach to the upper thoracic spine. J Bone Joint Surg Br 69:542-544, 1987 (Pubitemid 17105514)
42. Wang JC, Boland P, Mitra N, Yamada Y, Lis E, Stubblefield M, et al: Single-stage posterolateral transpedicular approach for resection of epidural metastatic spine tumors involving the vertebral body with circumferential reconstruction: results in 140 patients. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:287-298, 2004
43. Wang Y, Zhang Y, Zhang X, Huang P, Xiao S, Wang Z, et al: A single posterior approach for multilevel modified vertebral column resection in adults with severe rigid congenital kyphoscoliosis: a retrospective study of 13 cases. Eur Spine J 17:361-372, 2008
44. Xu R, Grabow R, Ebraheim NA, Durham SJ, Yeasting RA: Anatomic considerations of a modified anterior approach to the cervicothoracic junction. Am J Orthop 29:37-40, 2000
45. Yasuoka S, Peterson HA, MacCarty CS: Incidence of spinal column deformity after multilevel laminectomy in children and adults. J Neurosurg 57:441-445, 1982 (Pubitemid 12030729)