Anterior surgical management of the cervicothoracic junction lesions at T1 and T2 vertebral bodies.
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.
Department of Neurosurgery, Hospital Saúde, Universidade de Caxias do Sul, Caxias do Sul, RS, Brazil. asdrubal@doctor.com
Asdrubal
A
Falavigna
Orlando
O
Righesso
Darcy Ribeiro
DR
Pinto-Filho
Alisson Roberto
AR
Teles
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D013904:Thoracic Vertebrae / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed