European Spine Journal

, Volume 22, Issue 7, pp 1533–1538 | Cite as

Mini-open anterior approach to the cervicothoracic junction: a cadaveric study

  • Yi-xing Huang
  • Nai-feng Tian
  • Yong-long Chi
  • Sheng Wang
  • Jun Pan
  • Hua-zi Xu
Original Article
First Online:
Received:
Revised:
Accepted:

Abstract

Purpose

To investigate the feasibility of mini-open anterior approach to the cervicothoracic junction (CTJ) in cadaveric specimens.

Methods

Four adult fresh-frozen cadaveric specimens were used for this study. On the cadaveric specimen, an osteotomy window was made in manubrium sterni to remove the bony obstacle. To bypass the vital vascular and neural structures over the operative field, we used the surgical corridor which was located medially by the brachiocephalic artery and laterally by the right brachiocephalic vein, or in combination with another surgical corridor between the ascending aorta and the superior vena cava. And we used a special self-retaining retractor system and an endoscope to facilitate the procedures.

Results

Surgical procedures performed on the four fresh-frozen cadaveric specimens to expose the CTJ through mini-open anterior approach were successful. The anterior surface of C6–T5 could be exposed, allowing complete decompression and application of locking plate and screws. The most caudal accessible vertebral body was T5 vertebral body in our study.

Conclusion

It is feasible to expose the CTJ through this mini-open anterior approach.

Keywords

Cervicothoracic junction Anterior approach Mini-open approach Cadaveric study 
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Notes

Acknowledgments

The research was supported by the National Natural Science Youth Foundation of China (Grant No. 81101395) and the Health Bureau of Zhejiang Province (Grant No. 2011KYA110).

Conflict of interest

There is no actual or potential conflict of interest in relation to this article.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Yi-xing Huang
    • 1
  • Nai-feng Tian
    • 1
  • Yong-long Chi
    • 1
  • Sheng Wang
    • 1
  • Jun Pan
    • 1
  • Hua-zi Xu
    • 1
  1. 1.Department of Orthopedic SurgerySecond Affiliated Hospital of Wenzhou Medical CollegeWenzhouChina

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