The upper sternal line anterior cervical spine surgery.docVIP

 PAGE \* MERGEFORMAT 24 The upper sternal line anterior cervical spine surgery Author: Liu Yi Lin, Li-Min Wang, Yue-Ming Song Abstract [Objective] To evaluate the upper sternal line of anterior cervical spine surgery methods and clinical effects. [Method] since August 1999 ~ February 2006 were treated 11 cases of cervical thoracic lesion patients, 8 males and 3 females; aged 17 to 67 years, with an average 41.5 years of age. Lesion types: trauma, cancer and tuberculosis, the 4,6 and 1. Lesion segments: T3, C7 ~ T1 and T1, 2 and 1 case, C7, and C6 ~ T1 in 2 cases, 4 cases of T1. Neck surgery to take the chest incision, the upper sternal split, revealing cervical thoracic vertebrae, to remove the tumor or diseased vertebral body, spinal decompression, reconstruction of spinal stability and internal fixation. Of spinal cord nerve function according to Frankel classification evaluation. [Results] The patients were followed up 10 to 56 months, an average of 31 months. 2 d after the first one cases of chylous leakage occurs at about 50 ml, drainage 2 d after the self-healing. 1 patient developed transient hoarseness. In varying degrees of spinal cord function after recovery. Bone fusion and internal fixation does not fail, spinal stability. [Conclusion] The upper sternal line of anterior cervical spine surgery revealed satisfaction, trauma, surgery safe operation with few complications to meet thoracic anterior cervical decompression, bone fusion and internal fixation. Should pay attention to avoid the recurrent laryngeal nerve and thoracic duct injury. Keywords: Surgical approach; cervical thoracic; surgical treatment Cervical spine 〔1〕 usually refers to the C7 ~ T3 vertebra Festival, located in cervical lordosis and thoracic kyphosis of the migration office, his former road complex anatomy, surgical approach difficult. The author carried out on 40 cases of specimens of the anterior cervical spine surgery applied anatomy study (another