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Journal of Spine & NeurosurgeryISSN: 2325-9701

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Research Article, J Spine Neurosurg Vol: 4 Issue: 1

Transclavicular Transmanubrial Approach to the Cervico-Thoracic Junction

Balaji Pai S*, Srihari BG and Elvis Rodrigues
Department of Neurosurgery, Bangalore Medical College and Research Institute, Bangalore, India
Corresponding author : Balaji Pai S
Department of Neurosurgery, Bangalore Medical College and Research Institute, Bangalore, India
Tel: 00919341250084;Fax: 00918026705883
E-mail: [email protected]
Received September 13, 2014 Accepted September 26, 2014 Published September 30, 2014
Citation: Balaji PS, Srihari BG, Rodrigues E (2014) Transclavicular Transmanubrial Approach to the Cervico-Thoracic Junction. J Spine Neurosurg 3:7 doi:10.4172/2325-9701.1000170

Abstract

Transclavicular Transmanubrial Approach to the Cervico- Thoracic Junction

The cervicothoracic junction (CTJ) is a difficult region to approach for the spinal surgeon due to the critical structures surrounding this area. Although the traditional posterior approaches are easier and instrumentation possible, decompression of anterior pathologies and subsequent stabilization is suboptimal by this route. Anterior approaches are narrow and deep and between the critical structures. We describe the transclavicular transmanubrial approach to the CTJ in this series. Combining manubriotomy and medial portion of clavicle excision expands the exposure and permits anterior decompression and stabilization of the CTJ.

Keywords: Cervicothoracic junction; Upper thoracic spine; Transmanubrial approach; Transclavicular approach; Manubriotomy

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