Nazzaro J M, Arbit E, Burt M
Department of Surgery (Neurosurgical and Thoracic Services), Memorial Sloan-Kettering Cancer Center, New York, New York.
J Neurosurg. 1994 Feb;80(2):338-41. doi: 10.3171/jns.1994.80.2.0338.
This report describes a "trap door" exposure of the cervicothoracic junction. The method combines a standard anterior approach to the spine along the medial border of the sternocleidomastoid muscle with both a partial median sternotomy and an anterolateral thoracotomy. Transection of the clavicle is not required and the sternoclavicular joint is preserved. With this method, all important ventral paravertebral vessels, nerves, and associated soft tissue are fully identified and readily mobilized as needed. The method provides full bilateral anterior exposure from the C-4 through at least the T-3 vertebral levels, as well as unilateral anterolateral access to the upper thoracic spine.
本报告描述了一种颈胸交界区的“活板门”式显露方法。该方法将沿胸锁乳突肌内侧缘的标准脊柱前路与部分正中胸骨切开术和前外侧开胸术相结合。无需切断锁骨，保留胸锁关节。采用这种方法，所有重要的椎旁腹侧血管、神经及相关软组织均能被充分识别，并可根据需要轻松游离。该方法可提供从C-4至至少T-3椎体水平的双侧前方充分显露，以及对上胸椎的单侧前外侧入路。
