Abstract
OBJECT: The authors' aim was to conduct a surgical anatomy and feasibility study
on the use of an extended posterolateral approach to the cervicothoracic junction
(Fessler approach) in cadavers to facilitate en bloc removal of the second
thoracic vertebra using the Tomita technique. To apply this technique, it is
mandatory to approach both sides of the vertebra. But such a maneuver is very
difficult in the region of the cervicothoracic junction because the scapula and
its muscles represent an anatomical barrier to the paravertebral compartment and
lateral aspects of the vertebrae.
METHODS: To study the extended posterolateral Fessler approach to the
cervicothoracic junction and the possible application of the Tomita technique on
the second thoracic vertebra, 3 fresh-frozen cadavers were used in the Laboratory
of Human Anatomy at the University of Nantes.
RESULTS: The proposed approach allows exposure of both the posterior arch and the
body of the second thoracic vertebra without any significant resection or
traction of the superficial and deep posterior thoracic muscles, enabling
application of the Tomita technique and facilitating intraoperative spinal
fixation.
CONCLUSIONS: The proposed surgical technique is technically feasible.
Nevertheless, it should be an option reserved for selected patients for whom the
surgical complexity can be justified by the characteristics of their malignancy
and expected curative outcome.
Lingua originale | Inglese |
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pagine (da-a) | 22-26 |
Numero di pagine | 5 |
Rivista | Journal of Neurosurgery |
Volume | 16 |
DOI | |
Stato di pubblicazione | Pubblicato - 2012 |
Keywords
- CADAVERIC STUDY
- FESSLER APPROACH
- SPONDYLECTOMY
- TOMITA TECHNIQUE