Anterior approaches to the cervicothoracic junction: a study on the surgical accessibility of three different corridors based on the CT images
To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and...
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| Published in | European spine journal Vol. 19; no. 11; pp. 1936 - 1941 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
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Berlin/Heidelberg
Springer-Verlag
01.11.2010
Springer Nature B.V |
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| Abstract | To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3. |
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| AbstractList | To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3. To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3. To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3.[PUBLICATION ABSTRACT] To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3.To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3. To determine the location of left brachiocephalic vein (BCV) and tracheal bifurcation (TB) relative to the vertebral levels, and to ascertain the accessibility of three different corridors (C1: between the esophagus and trachea medially and the carotid sheath laterally, C2: between the right BCV and the brachiocephalic artery, and C3: between the ascending aorta and superior vena cava) for preoperative planning. From August 2008 to April 2009, normal chest CT scans of 150 subjects ranging in age from 18 to 78 years were selected. According to our definition, of the 150 studies, 132 T2 vertebral bodies (VBs) could be accessed through C1 (88.0%), 100 T3 VBs could be reached through C2 (66.7%), and 110 T4 VBs could be exposed through C3 (73.3%). The results suggest that the surgical accessibility of three different corridors is different and we conclude that T2, T3, and T4 are, respectively, readily accessible through C1, C2, and C3. |
| Author | Huang, Yi-xing Wang, Xiang-yang Xu, Hua-zi He, Jia-wei Chi, Yong-long Ni, Wen-fei Xu, Hui Wang, Sheng |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20549258$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_wneu_2019_01_200 crossref_primary_10_4055_cios22394 crossref_primary_10_1016_j_wneu_2018_01_099 crossref_primary_10_4103_eoj_eoj_57_23 crossref_primary_10_1055_s_0041_1740295 crossref_primary_10_1016_j_jocn_2015_05_028 crossref_primary_10_35366_114166 crossref_primary_10_1097_BRS_0000000000001155 crossref_primary_10_1007_s00586_013_2766_9 crossref_primary_10_3340_jkns_2015_58_3_236 crossref_primary_10_1016_j_wneu_2018_12_121 crossref_primary_10_1016_j_ijscr_2020_02_003 |
| Cites_doi | 10.1097/00007632-199110001-00018 10.1097/BRS.0b013e31815b7632 10.1017/S104795110200032X 10.1227/00006123-199510000-00014 10.1016/j.surneu.2005.08.017 10.1007/s11999-008-0469-z 10.1097/01.bsd.0000117541.10843.c9 10.1097/00007632-199711150-00015 10.1016/0090-3019(86)90158-8 10.3171/2009.2.SPINE08372 10.1007/s00586-006-0239-0 10.1097/00007632-200004150-00003 10.1136/hrt.61.6.540 10.1097/00002517-199912000-00012 10.1097/00007632-200204010-00002 10.1097/00002517-199702000-00005 10.2106/00004623-200206000-00017 10.1302/0301-620X.72B5.2211781 10.1080/10790268.2006.11753871 10.1302/0301-620X.71B1.2915012 10.1177/000348949610500201 |
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| SubjectTerms | Adolescent Adult Aged Aortography Brachiocephalic Veins - diagnostic imaging Carotid Arteries - diagnostic imaging Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Female Humans Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Original Article Orthopedic Procedures - methods Retrospective Studies Surgical Orthopedics Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - surgery Tomography, X-Ray Computed Trachea - diagnostic imaging Vena Cava, Superior - diagnostic imaging Young Adult |
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| Title | Anterior approaches to the cervicothoracic junction: a study on the surgical accessibility of three different corridors based on the CT images |
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