title: An anterior approach to the cervicothoracic junction of the spine (modified osteotomy of manubrium sterni and clavicle).
abstract: Standard anterior approaches to the cervicothoracic junction of the spine provide inadequate exposure. For this reason, various techniques of exposure are developed. One of these is Sundaresan's technique in which a part of the manubrium sterni and medial clavicle is resected. This technique provides good visibility and working area at the lesion level but causes a significant bony defect. We modified Sundaresan's technique and did not damage the sternoclavicular joint. After decompression and fusion was completed, the osteotomized segment was replanted. We performed this technique in a case of Pott's disease and had no problem with union at the osteotomy sites.
authors.affiliation: University of Istanbul, Istanbul Medical Faculty, Department of Orthopaedics and Traumatology, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Sar
authors.forename: A
authors.initials: A
authors.lastname: Hamzaoglu
authors.forename: U
authors.initials: U
authors.lastname: Talu
authors.forename: U
authors.initials: U
authors.lastname: Domanic
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D002574:Cervical Vertebrae / Q000601:surgery*; D002968:Clavicle / Q000601:surgery*; D019299:Decompression, Surgical; D004322:Drainage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008371:Manubrium / Q000601:surgery*; D008488:Medical Illustration; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D012092:Replantation; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000601:surgery*; D014399:Tuberculosis, Spinal / Q000175:diagnosis / Q000601:surgery