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Hindi Research Article, J Spine Neurosurg Vol: 4 Issue: 1
Transclavicular Transmanubrial Approach to the Cervico-Thoracic Junction
| Balaji Pai S*, Srihari BG and Elvis Rodrigues | |
| Department of Neurosurgery, Bangalore Medical College and Research Institute, Bangalore, India | |
| Corresponding author : Balaji Pai S Department of Neurosurgery, Bangalore Medical College and Research Institute, Bangalore, India Tel: 00919341250084;Fax: 00918026705883 E-mail: balajipai65@yahoo.co.in |
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| Received September 13, 2014 Accepted September 26, 2014 Published September 30, 2014 | |
| Citation: Balaji PS, Srihari BG, Rodrigues E (2014) Transclavicular Transmanubrial Approach to the Cervico-Thoracic Junction. J Spine Neurosurg 3:7 doi:10.4172/2325-9701.1000170 |
Abstract
Transclavicular Transmanubrial Approach to the Cervico- Thoracic Junction
The cervicothoracic junction (CTJ) is a difficult region to approach for the spinal surgeon due to the critical structures surrounding this area. Although the traditional posterior approaches are easier and instrumentation possible, decompression of anterior pathologies and subsequent stabilization is suboptimal by this route. Anterior approaches are narrow and deep and between the critical structures. We describe the transclavicular transmanubrial approach to the CTJ in this series. Combining manubriotomy and medial portion of clavicle excision expands the exposure and permits anterior decompression and stabilization of the CTJ.
