title: Modified transmanubrial osteomuscular sparing approach for resection of T1 vertebral tumor.
abstract: We report a technical modification of the classic transmanubrial osteomuscular sparing approach described by Grünenwald and Spaggiari for the treatment of a T1 vertebral tumor. The goal of the surgical treatment for spinal tumors of the cervico-thoracic area is to excise the vertebral tumor, reconstruct the spinal column, and place an internal fixation device to achieve immediate stabilization. The procedure was necessary for treating a patient who presented with an invasion of T1 vertebral body by multiple myeloma with initial neurological symptoms of epidural spinal cord compression. This approach requires a multidisciplinary team, essentially composed by the thoracic surgeon, who performs the anatomical dissection of the cervico-thoracic area, and the neurosurgeon, who performs the vertebrectomy and placement of a titanium prosthesis (Harm's cage). The operation was successful; the follow-up 6 months after the surgical procedure is normal.
authors.affiliation: Thoracic Surgery Unit, V. Fazzi Hospital, 73100 Lecce, Italy. gaetano.dirienzo@libero.it
authors.forename: Gaetano
authors.initials: G
authors.lastname: Di Rienzo
authors.forename: Corrado
authors.initials: C
authors.lastname: Surrente
authors.forename: Camillo
authors.initials: C
authors.lastname: Lopez
authors.forename: Anna Lucia
authors.initials: AL
authors.lastname: Urgese
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000601:surgery*; D006801:Humans; D008297:Male; D009101:Multiple Myeloma / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D013125:Spinal Neoplasms / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D016896:Treatment Outcome