Abstract
This cervicothoracic approach gives an excellent access to the supraclavicular area, as well as the superior mediastinum and upper sulcus, while sparing the entire musculature of the neck. This technique is built on a division of the sternal manubrium through an L-shaped incision, thus respecting the sternoclavicular joint. The resection of the first costal cartilage allows mobilization of an osteomuscular flap that is progressively elevated.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mazel C, Grunenwald D. Radical excision in management of thoracic and cervico-thoracic tumors involving the spine. Résults on a series of 36 cases. Spine. 2003;28(8):782–92.
Mazel C, Balabaud L, Bennis S, Hansen S. Cervical and thoracic spine tumor management: surgical indications, techniques, and outcomes. Orthopaedic Clinic North Am. 2008;94(4):354–60.
Grunenwald D, Spaggiari L. Transmanubrial osteomuscular sparing approach for apical chest tumors. Ann Thorac Surg. 1997;63:563–6.
Mitsuboshi S, Kanzaki M, Ogihara A, Katagiri S, Yoshiya T, Sakamoto K, Maeda H, Kikkawa T, Isaka T, Oyama K, Murasugi M, Onuki T. Outcomes of surgical treatment by modified transmanubrial approach. Kyobu Geka. 2016;3:180–3.
Park JH, Im SB, Jeong JH, Hwang SC, Shin DS, Kim BT. The transmanubrial approach for cervicothoracic junction lesions: feasibility, limitations, and advantages. J Korean Neurosurg Soc. 2015;58:236–41.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Mazel, C., Grunenwald, D.H. (2019). Transmanubrial Cervicothoracic Approach. In: Koller, H., Robinson, Y. (eds) Cervical Spine Surgery: Standard and Advanced Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-93432-7_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-93432-7_19
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-93431-0
Online ISBN: 978-3-319-93432-7
eBook Packages: MedicineMedicine (R0)