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《Journal of Spinal Surgery》 2003-01
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The high transthoracic approach for anterior decompression and instrumentation of the upper thoracic vertebrae

REN Xianjun, ZHANG Xia, WANG Jian, et al. Department of Orthopaedics, Xinqiao Hospital, The Third Military Medical University, Chongqing 400037,china  
Objective To study the exposure of the high transthoracic approach for anterior decompression and instrumentation at the upper thoracic vertebrae.Methods There were eight patients, six male and two female. The age was 26 to 55 years old with average of 37 years old. The lesion involved T 3 to T 5 vertebrae with T 3,4 tuberculosis involves in three patientsT 3 ~T 5 metastatic tumor in three patients,and T 4,5 fracture in two patients. All patients operation through high transthoracic approach. Lesion clearance was performed for tuberculosis. Vertebrectomy followed by bone cement and Z plate was undergone for metastatic tumor. Anterior decompression and fusion followed by Z plate was undergone for vertebrae fracture.Results Successful exposure, lesion clearance, or decompression and implant were made in all eight patients. The were no important vascular and nerve injury, no wound infection. One patient had thoracic duct injury and was cured one week postoperatively. Conclusion The high transthoracic approach to the upper thoracic vertebrae was a favorable way. The approach provide a better visualization and enough space for anterior decompression and implant.
【CateGory Index】: R687.3
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