Sundaresan N, Shah J, Feghali J G
Am J Surg. 1984 Oct;148(4):473-7. doi: 10.1016/0002-9610(84)90372-6.
An anterior surgical approach to the upper thoracic vertebrae has been described. A T-shaped skin incision is used, with the horizontal limb 1 cm above the clavicle, and the vertical limb extending in the midline over the body of the sternum. A portion of the manubrium sterni, as well as the medial third of the clavicle, is resected; the avacular tissue plane between the carotid sheath laterally and the trachea and esophagus medially is developed to reach the prevertebral space. After surgery, immediate fusion is performed using the clavicle and manubrium. This procedure is well tolerated, and was associated with minimal morbidity and no mortality in a series of seven patients.
已经描述了一种对上胸椎的前路手术方法。采用T形皮肤切口，水平肢位于锁骨上方1厘米处，垂直肢在胸骨体上方的中线处延伸。切除部分胸骨柄以及锁骨内侧三分之一；在外侧的颈动脉鞘与内侧的气管和食管之间的无血管组织平面被打开以到达椎前间隙。手术后，立即使用锁骨和胸骨柄进行融合。该手术耐受性良好，在一组7例患者中，发病率极低且无死亡病例。
