Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature

Direct ventral access to the cervicothoracic spine (C7-T4) poses a technical challenge in spine surgery, given the vital neurovascular structures residing anterior to the cervicothoracic junction (CTJ). The transsternal approach is a feasible surgical option that allows for direct anterior exposure...

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Detalles Bibliográficos
Autores principales: Le, Hai V, Wadhwa, Rishi, Mummaneni, Praveen, Theodore, Pierre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2015
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610737/
https://www.ncbi.nlm.nih.gov/pubmed/26623225
http://dx.doi.org/10.7759/cureus.324
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author Le, Hai V
Wadhwa, Rishi
Mummaneni, Praveen
Theodore, Pierre
author_facet Le, Hai V
Wadhwa, Rishi
Mummaneni, Praveen
Theodore, Pierre
author_sort Le, Hai V
collection PubMed
description Direct ventral access to the cervicothoracic spine (C7-T4) poses a technical challenge in spine surgery, given the vital neurovascular structures residing anterior to the cervicothoracic junction (CTJ). The transsternal approach is a feasible surgical option that allows for direct anterior exposure of the lower cervical and upper thoracic vertebrae. Here, the authors report a case of an elderly gentleman with upper thoracic (T1-2) vertebral osteomyelitis and epidural abscess who underwent a transsternal full median sternotomy for ventral decompression and fusion of C7-T2. We also detail our operative procedure and review relevant literature on different transsternal approaches to the CTJ.
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spelling pubmed-46107372015-11-30 Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature Le, Hai V Wadhwa, Rishi Mummaneni, Praveen Theodore, Pierre Cureus General Surgery Direct ventral access to the cervicothoracic spine (C7-T4) poses a technical challenge in spine surgery, given the vital neurovascular structures residing anterior to the cervicothoracic junction (CTJ). The transsternal approach is a feasible surgical option that allows for direct anterior exposure of the lower cervical and upper thoracic vertebrae. Here, the authors report a case of an elderly gentleman with upper thoracic (T1-2) vertebral osteomyelitis and epidural abscess who underwent a transsternal full median sternotomy for ventral decompression and fusion of C7-T2. We also detail our operative procedure and review relevant literature on different transsternal approaches to the CTJ. Cureus 2015-09-16 /pmc/articles/PMC4610737/ /pubmed/26623225 http://dx.doi.org/10.7759/cureus.324 Text en Copyright © 2015, Le et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Le, Hai V
Wadhwa, Rishi
Mummaneni, Praveen
Theodore, Pierre
Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title_full Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title_fullStr Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title_full_unstemmed Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title_short Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature
title_sort anterior transsternal approach for treatment of upper thoracic vertebral osteomyelitis: case report and review of the literature
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610737/
https://www.ncbi.nlm.nih.gov/pubmed/26623225
http://dx.doi.org/10.7759/cureus.324
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