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Journal of Korean Neurosurgical Society > Volume 23(2); 1994 > Article
Journal of Korean Neurosurgical Society 1994;23(2): 242-247.
An Anterior Surgical Approach to Upper Thoracic Spine.
Sang Jin Kim, Yong Tae Kwak, Sang Keun Park
1Department of Neurosurgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.
2Department of Cardiovascular & Thoracic Surgery, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.
ABSTRACT
Anterior exposure to the upper two thoracic vertebrae is technically difficult with transcervical approach. The authors used a transstermal biclavicular approach to the T1 metastatic adenocarcinome in a 47 year old patient. The advantages of this approach are that : 1) it levels the insertion of the sternocleidomastoid muscles intact and prevents the complication of respiratory problem, 2) it gives most wide surgical field among the other similar approaches, and 3) this procedure is not transpleural but transmediastinal approach.
Key Words: Upper thoracic spine; Tanssternal biclavicular approach
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