This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow [Supplementary Material]
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Luk, K. D.K.
Right arrow Articles by Leong, J. C.Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Luk, K. D.K.
Right arrow Articles by Leong, J. C.Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 84:1013-1017 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Anterior Approach to the Cervicothoracic Junction by Unilateral or Bilateral Manubriotomy

A Report of Five Cases

Keith D.K. Luk, FRCSE , FRCSG , MCh(Orth) , FRACS , FHKAM(Orth), , Kenneth M.C. Cheung, FRCS, FHKAM(Orth) and John C.Y. Leong, OBE, FRCS, FRCSE, FRACS, FHKAM(Orth), JP

Investigation performed at the Department of Orthopaedic Surgery, University of Hong Kong, Hong Kong

Keith D.K. Luk, FRCSE, FRCSG, FRACS, MCh(Orth), FHKAM(Orth)
Kenneth M.C. Cheung, FRCS, FHKAM(Orth)
John C.Y. Leong, OBE, FRCS, FRCSE, FRACS, FHKAM(Orth), JP
Department of Orthopaedic Surgery, University of Hong Kong, c/o The Duchess of Kent Children's Hospital, 12 Sandy Bay Road, Pokfulam, Hong Kong. E-mail address for K.D.K. Luk: hrmoldk@hkucc.hku.hk

No benefit6s in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
The anterior aspect of the cervicothoracic junction, particularly from the seventh cervical to the fourth thoracic vertebrae, is a difficult area to approach surgically. The normal kyphosis of the upper thoracic segments requires a deep surgical field. The classic approach to the cervical spine described by Southwick and Robinson 1 normally permits access to the cervicothoracic junction for simple spinal débridement or disc excision, but spinal instrumentation extending from the caudad cervical to the cephalad thoracic levels is usually not possible 2,3 . Both the supraclavicular approach 4 and the high transthoracic approach 4 do not allow simultaneous access to the caudad cervical and cephalad thoracic vertebrae. Such access may be needed when a patient has kyphosis of the cervicothoracic junction that requires an extensive strut graft and internal fixation.

A number of different approaches to the cervicothoracic junction have been previously described 5-11 . Each approach has its advocates, but all approaches are associated . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?