지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 236 - 241 (6page)
이용수
초록· 키워드
오류제보하기
Objective : We report on the technical feasibility and limitations of the transmanubrial approach for cervicothoracic junction (CTJ) lesions and emphasize the advantage of bisecting the upper part of the manubrium in an inverted Y-shape. Methods : Thirteen patients who underwent the fourteen transmanubrial approach for various CTJ lesions were enrolled during 2005-2014. For the evaluation of the accessibility for the CTJ lesion, we analyzed the two parallel line defined as a straight line parallel to the inferior and superior plateau of the upper and lower healthy vertebrae, the angle of the two parallel lines and the distance from the sternal notch to lines at the sternum on preoperative magnetic resonance images. Surgical limitations and perspectives, as well as postoperative clinical outcomes were evaluated retrospectively. Results : The CTJ lesions were six metastases, three primary bone tumors, two herniated discs, and one each of a traumatic dislocation with syrinx formation and tuberculous spondylitis and ossification of the posterior longitudinal ligament. If two parallel lines pass below the sternal notch, the manubriotomy should be inevitably performed. The mean preoperative Visual analogue scale score was 8 (range, 5-10), which improved to 4 (range, 0-6) postoperatively. Seven cases showed an increase in Frankel score postoperatively. Conclusion : The spatial relationship between the sternal notch and the two parallel lines to the lesion was rational to determine the feasibility of manubriotomy. The transmanubrial approach for CTJ lesions can achieve favorable clinical outcomes by providing direct decompression of lesion and effective reconstruction.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Cauchoix J. / 1957 / Anterior surgical approaches to the spine / Ann R Coll Surg Engl 21:237~243
Cho W. / 2012 / Surgical approach to the cervicothoracic junction : can a standard Smith-RobinTable son approach be utilized? / J Spinal Disord Tech 25:264~267
Cohen ZR. / 2004 / Anterior stabilization of the upper thoracic spine via an"interaortocaval subinnominate window" : case report and description of operative technique / J Spinal Disord Tech 17:543~548
Falavigna A. / 2011 / Anterior approach to the cervicothoracic junction : proposed indication for manubriotomy based on preoperative computed tomography findings / J Neurosurg Spine 15:38~47
Fuentes S. / 2010 / Cervicosternotomy as an anterior approach to the upper thoracic and cervicothoracic spinal junction / J Neurosurg Spine 12:160~164
Cho W. / 2012 / Surgical approach to the cervicothoracic junction : can a standard Smith-RobinTable son approach be utilized? / J Spinal Disord Tech 25:264~267
Cohen ZR. / 2004 / Anterior stabilization of the upper thoracic spine via an"interaortocaval subinnominate window" : case report and description of operative technique / J Spinal Disord Tech 17:543~548
Falavigna A. / 2011 / Anterior approach to the cervicothoracic junction : proposed indication for manubriotomy based on preoperative computed tomography findings / J Neurosurg Spine 15:38~47
Fuentes S. / 2010 / Cervicosternotomy as an anterior approach to the upper thoracic and cervicothoracic spinal junction / J Neurosurg Spine 12:160~164
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