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Full median sternotomy approach for treatment of upper thoracic vertebral tuberculosis in a developing country: case report and short literature review.

Abstract Direct anterior approach to the cervicothoracic spine (C7-T4) poses a technical challenge in neurosurgery, due to the presence of important neurovascular structures anterior to the cervicothoracic junction (CTJ). Median Sternotomy approach is a surgical option that allows for direct anterior exposure of the lower cervical and upper thoracic vertebrae. We report the first case from Ghana, West Africa of a young man who developed post-tuberculosis osteomyelitis of upper thoracic (T1-2) vertebrae with cord compression after spinal tuberculosis in childhood. He underwent a full median Sternotomy for Anterior Decompression and Fusion of C7-T2 with autologous iliac crest bone graft. We detail our operative procedure and review the relevant literature.
PMID
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Anterior Transsternal Approach for Treatment of Upper Thoracic Vertebral Osteomyelitis: Case Report and Review of the Literature.

Authors

Mayor MeshTerms
Keywords

Osteomyelitis

cervicothoracic junction

laminectomy

median Sternotomy

Journal Title the pan african medical journal
Publication Year Start




PMID- 29515730
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - Full median sternotomy approach for treatment of upper thoracic vertebral
      tuberculosis in a developing country: case report and short literature review.
PG  - 112
LID - 10.11604/pamj.2017.28.112.12948 [doi]
AB  - Direct anterior approach to the cervicothoracic spine (C7-T4) poses a technical
      challenge in neurosurgery, due to the presence of important neurovascular
      structures anterior to the cervicothoracic junction (CTJ). Median Sternotomy
      approach is a surgical option that allows for direct anterior exposure of the
      lower cervical and upper thoracic vertebrae. We report the first case from Ghana,
      West Africa of a young man who developed post-tuberculosis osteomyelitis of upper
      thoracic (T1-2) vertebrae with cord compression after spinal tuberculosis in
      childhood. He underwent a full median Sternotomy for Anterior Decompression and
      Fusion of C7-T2 with autologous iliac crest bone graft. We detail our operative
      procedure and review the relevant literature.
FAU - Okyere, Isaac
AU  - Okyere I
AD  - Cardiothoracic and Vascular Surgeon, Department of Surgery, School of Medical
      Sciences, Kwame Nkrumah University of Science and Technology and Komfo Anokye
      Teaching Hospital,Kumasi, Ghana.
FAU - Lamina, Anthony
AU  - Lamina A
AD  - Neurosurgeons, Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi,
      Ghana.
FAU - Owusu, Benedict
AU  - Owusu B
AD  - Neurosurgeons, Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi,
      Ghana.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20171005
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Ghana
MH  - Humans
MH  - Male
MH  - Osteomyelitis/*surgery
MH  - Spinal Cord Compression
MH  - Spinal Fusion
MH  - Sternotomy/*methods
MH  - Thoracic Vertebrae
MH  - Tuberculosis, Spinal/*surgery
MH  - Young Adult
PMC - PMC5837156
OTO - NOTNLM
OT  - Osteomyelitis
OT  - cervicothoracic junction
OT  - laminectomy
OT  - median Sternotomy
EDAT- 2018/03/09 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/09 06:00
PHST- 2017/06/03 00:00 [received]
PHST- 2017/09/12 00:00 [accepted]
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - 10.11604/pamj.2017.28.112.12948 [doi]
AID - PAMJ-28-112 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 5;28:112. doi: 10.11604/pamj.2017.28.112.12948.
      eCollection 2017.