Sundaresan N, Shah J, Foley K M, Rosen G
J Neurosurg. 1984 Oct;61(4):686-90. doi: 10.3171/jns.1984.61.4.0686.
Of the various anterior surgical approaches to the spine, exposure of the upper two thoracic vertebrae remains the most challenging. An operative approach to this region is described. The major features include resection of a portion of the clavicle and the manubrium sterni. Following resection of the tumor and involved vertebra, anterior fusion is performed using the clavicle as a strut graft. Immediate stabilization may also be achieved with methyl methacrylate replacement of the vertebral bodies. The operation is well tolerated, and requires minimal postoperative immobilization. The clinical presentation, radiological features, and results of treatment in a series of seven patients operated on during a 2-year period are presented.
在脊柱的各种前路手术入路中，显露上两节胸椎仍然是最具挑战性的。本文描述了该区域的一种手术入路。主要特点包括切除部分锁骨和胸骨柄。切除肿瘤及受累椎体后，以锁骨作为支撑植骨进行前路融合。也可用甲基丙烯酸甲酯替代椎体实现即刻稳定。该手术耐受性良好，术后所需固定极少。本文介绍了在两年期间对7例患者进行手术的临床表现、影像学特征及治疗结果。
