Choi Byung Kwan, Han In Ho, Cho Won Ho, Cha Seung Heon
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
J Korean Neurosurg Soc. 2011 Jan;49(1):61-4. doi: 10.3340/jkns.2011.49.1.61. Epub 2011 Jan 31.
Upper thoracic vertebral bodies are difficult to access using standard anterior approaches. It may require sternotomy and claviculectomy, which carries significant possibility of morbidities. We report a case of inferiorly migrated cervicothoracic junction disc treated successfully by anterior upper-vertebral transcorporeal approach. This specific technique obviated the need of sternotomy, created favorable working space and saved the motion segment at cervicothoracic junction. This report is the first transcorporeal approach to a disc fragment at T1-2 space without fusion.
使用标准的前路手术方法很难到达上胸椎椎体。这可能需要进行胸骨切开术和锁骨切除术，而这会带来较高的并发症风险。我们报告了一例通过前路经上椎体入路成功治疗的下移位型颈胸交界椎间盘病例。这种特殊技术避免了胸骨切开术的需要，创造了良好的工作空间，并保留了颈胸交界的运动节段。本报告是首例在T1-2间隙对椎间盘碎片采用经椎体入路且未进行融合的病例。
