Introduction: A thorough knowledge of the vital structures adds to the safety in approaching the
cervicothoracic spine junction. The best described method to reach the spine is via
viscero-neurovascular space. We present our experience of 10 cases operated at our
institute using the modified transclavicular transmanubrial approach to the cervicothoracic
spine pathology.As we gained experience we have used various corridors to the operating
field and used a new space to approach the lower cervicothoracic junction spine. Methods: Between February 2011 to August 2015, 10 patients with disease in upper thoracic
vertebral body were admitted and evaluated clinically and radiologically. Neurological
status in all cases was graded according to Frankel grading system.Patients were followed
up with Histopathological reports and treated accordingly. Results: All patients(except metastasis) improved by 1 or 2 grade in post op period. Metastasis
patients remained in same grade. Conclusion: Anterior approach with its modifications are the better suited biomechanically for
exploring the pathology of cervicothoracic spine,its decompression and stabilization.
Also it preserves the stability of shoulder girdle with good neurological and cosmetic
outcome.
Key-words:
Cervicothoracic spine - transclavicular-transmanubrial approach - tuberculosis spine