EJCTS Click here to go to Edwards website
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Eur J Cardiothorac Surg 2007;32:810-812. doi:10.1016/j.ejcts.2007.07.019
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow On-line Video
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Gaetano Di Rienzo
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Di Rienzo, G.
Right arrow Articles by Urgese, A. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Di Rienzo, G.
Right arrow Articles by Urgese, A. L.
Related Collections
Right arrow Mediastinum
Right arrow Great vessels
Right arrow Chest wall

How-to-do-it

Modified transmanubrial osteomuscular sparing approach for resection of T1 vertebral tumor

Gaetano Di Rienzo*, Corrado Surrente, Camillo Lopez, Anna Lucia Urgese

Thoracic Surgery Unit, "V. Fazzi" Hospital, 73100 Lecce, Italy

Received 7 June 2007; received in revised form 3 July 2007; accepted 13 July 2007.

* Corresponding author. Address: Thoracic Surgery Unit, "V. Fazzi" Hospital, Piazza Muratore, 73100 Lecce, Italy. Tel.: +39 0832 661608; fax: +39 0832 661608. (Email: gaetano.dirienzo{at}libero.it).

We report a technical modification of the classic transmanubrial osteomuscular sparing approach described by Grünenwald and Spaggiari for the treatment of a T1 vertebral tumor. The goal of the surgical treatment for spinal tumors of the cervico-thoracic area is to excise the vertebral tumor, reconstruct the spinal column, and place an internal fixation device to achieve immediate stabilization. The procedure was necessary for treating a patient who presented with an invasion of T1 vertebral body by multiple myeloma with initial neurological symptoms of epidural spinal cord compression. This approach requires a multidisciplinary team, essentially composed by the thoracic surgeon, who performs the anatomical dissection of the cervico-thoracic area, and the neurosurgeon, who performs the vertebrectomy and placement of a titanium prosthesis (Harm's cage). The operation was successful; the follow-up 6 months after the surgical procedure is normal.

Key Words: Cervico-thoracic tumors • Transmanubrial approach • Vertebrectomy






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.