1994
DOI: 10.1097/00007632-199411001-00011
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Spinal Disorders at the Cervicothoracic Junction

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Cited by 178 publications
(128 citation statements)
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“…In a series of 36 patients, the majority of whom (58%) underwent surgery via posterior approaches alone, there were three postoperative deaths (two cases of sternotomy and one case of anterior C-7 corpectomy). 1 Other reported complications in this series included a C6-7 subluxation after C7-T2 fusion, pseudomeningocele, vocal cord paralysis, dysphagia, and Horner syndrome. Other medical complications included wound infection, urinary tract infection, decubitus ulcers, deep vein thrombosis, pneumonia, and tumor recurrence.…”
Section: Discussionmentioning
confidence: 63%
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“…In a series of 36 patients, the majority of whom (58%) underwent surgery via posterior approaches alone, there were three postoperative deaths (two cases of sternotomy and one case of anterior C-7 corpectomy). 1 Other reported complications in this series included a C6-7 subluxation after C7-T2 fusion, pseudomeningocele, vocal cord paralysis, dysphagia, and Horner syndrome. Other medical complications included wound infection, urinary tract infection, decubitus ulcers, deep vein thrombosis, pneumonia, and tumor recurrence.…”
Section: Discussionmentioning
confidence: 63%
“…9 Transpedicular approaches as well as lateral extracavitary approaches have been described in this region and are useful in selected cases, particularly when there is a lateral component to the lesion or when anterior procedures are untenable due to patient's anatomy. 1,12 Making "windows" in the manubrium or sternum has also been described; these allow access to the upper thoracic spine with a limited sternotomy. 2,13,14 Sundaresan and colleagues 13,14 performed a limited resection of the sternum and distal clavicle and then used the clavicle as a strut graft in a series of seven patients in whom good results were achieved.…”
Section: Discussionmentioning
confidence: 99%
“…30 When significant instability exists, most authors have recommended combined anterior-posterior treatment. 4,14,18 This trend is due in part to the limitations of fixation at the cervicothoracic junction. 31 Fixation in the sub axial cervical spine is not as rigid as that in the upper thoracic spine.…”
Section: Introductionmentioning
confidence: 99%
“…16,27 A variety of disorders affect the cervicothoracic junction. 4,7,9,23 Trauma, degeneration, neoplasms, and infections like tuberculosis can potentially destabilize this area. Stabilization of pathologies in this area is challenging because of the small working area and a smaller margin for error as the important viscera of the mediastinum are in close proximity to this region.…”
mentioning
confidence: 99%
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