The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using...

OBJECTIVE We report on the technical feasibility and limitations of the transmanubrial approach for cervicothoracic junction (CTJ) lesions and emphasize the advantage of bisecting the upper part of the manubrium in an inverted Y-shape. METHODS Thirteen patients who underwent the fourteen transmanubrial approach for various CTJ lesions were enrolled during 2005-2014. For the evaluation of the ...

BACKGROUND The cervicothoracic junction (CTJ) site accounts for approximately 10% of all spinal metastases. The complex anatomical and biomechanical features increase the difficulty in surgical treatment of the CTJ metastases. However, few studies in the literature on surgical treatment for spinal metastases are focusing on this special area. The aim of this study was to evaluate the surgical o...

Neurenteric cysts are rare congenital spinal masses that result from the dysgenesis of the endoderm tissue during development. We report a 4-year-old girl who presented with an insidious onset of lower limb paraparesis. An MRI scan revealed a cervicothoracic intradural extramedullary neurenteric cyst at the thoracic T1/T2 level, with marked spinal cord compression. No associated spinal dysraphi...

introduction:surgical treatment of diseases in cervicothoracic, thoracic and thoracolumbar regions can be a challenging issue. cooperation of the thoracic surgeons and spine surgeons can improve the outcomes and decrease the complications of patients who underwent these approaches.materials & methods: the participants of this study consisted of seventeenpatients suffering from different types o...

Background: Primary aneurysmal bone cyst (ABC) is a locally aggressive neoplasm associated with bone destruction. The aim of this study is to present treatment options and their outcomes in ABC involving the cervical spine and the cervico-thoracic junction. Patients and Methods: Six patients with ABC of the spine were surgically treated. The cervical spine was involved in four and the cervicoth...

Purpose: The purpose of this case study was to determine whether cervicothoracic osteopathic thrust manipulation can improve a patient with shoulder pain and restriction. Case: This is 35-year autorickshaw driver who complained an acute onset therapist had several differential diagnoses according the patients findings, however, since cervical spine accessory movement findings were significantly...

We present the case of a 55-year-old woman with diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine following posterior inferior cerebellar artery aneurysmal subarachnoid hemorrhage (SAH). She underwent aneurysm clipping with subsequent gradual neurologic decline associated with sensory disturbances, gait ataxia, and spastic paraparesis. Magnetic resonance imaging re...