Turkish Neurosurgery
1997 , Vol 7 , Num 1-2
TRANSSTERNAL TRANSCLAVICULAR APPROACH TO THE CERVICOTHORACIC JUNCTION
1GATA Haydarpaşa Training Hospital,Departments of Neurosurgery, Istanbul,Turkey2 GATA Haydarpaşa Training Hospital,Departments of Cardiovascular Surgery, Istanbul,Turkey The surgical management of the pathologies at the cervicothoracic junction is hindered by various structures. Standart approaches to the cervical or thoracic spine provide inadequate exposure. We used a method which involves elevation of the medial comer of the manubrium,the stemodavicular joint and medial half of the davide on a pedide of the sternodeidomastoid musde for a tuberculosis abcess of Tl vertebra. After surgery neurologic functions improved and the patient had pain relief. Keywords : Approach, cervicothoracic junction, vertebral body tumor