Research Article
Mini Transsternal Approach to the Anterior High Thoracic Spine (T1–T4 Vertebrae)
| Case number | Age/sex | Disease | Affected level | Anterior spinal fusion level | Posterior fix | Operative time (min) | Blood loss (mL) | Perioperative complications | Frankel grade Preoperative | Frankel grade Last follow-up |
| 1 | 33, M | Disc | T3/4 | — | No | 150 | 450 | — | D | E | 2 | 44, F | Disc | T3/4 | — | No | 180 | 700 | — | D | E | 3 | 38, F | Disc | T2/3 | — | No | 170 | 560 | — | C | D | 4 | 39, F | Adjacent level pathology (ankylosing spondylitis) | C6/7 subluxation with severe flexion deformity | C4-T3 | Yes | 280 | 900 | — | D | D | 5 | 52, F | Metastasis (breast) | T1 | C7/T2 | Yes | 180 | 750 | Pneumonia | D | E | 6 | 46, F | Metastasis (breast) | T1 (C7/T2 corpectomy) | C6-T3 | Yes | 210 | 900 | — | D | D | 7 | 53, F | Metastasis (breast) | T3 | T2/T4 | No | 200 | 860 | Intercostal pain | C | C | 8 | 50, M | Metastasis (colon) | T2 | T1/T3 | No | 170 | 650 | — | D | D | 9 | 40, M | Metastasis (lung) | T3 | T2–T4 | No | 220 | 850 | — | D | E | 10 | 43, M | Metastasis (leiomyosarcoma) | T2/3 | T1/4 | No | 250 | 750 | — | D | D | 11 | 39, F | Traumatic fracture | T3 | T2/T4 | Yes | 250 | 950 | — | B | D | 12 | 26, M | TB | T1/2 | C7/T3 | Yes | 180 | 1050 | — | D | E | 13 | 43, M | TB | T2/3 | T1/T4 | No | 250 | 750 | — | C | E | 14 | 45, F | TB | T1/2 | C7/T3 | Yes | 230 | 900 | — | C | D | 15 | 53, M | TB | T2/3 | T1/T4 | No | 180 | 1100 | — | B | C | 16 | 46, F | TB | T1/2 | C7/T3 | No | 230 | 870 | Intercostal pain | D | E | 17 | 48, M | TB | T3 | T2/T4 | No | 220 | 750 | — | D | E | 18 | 39 | TB | T2/3 | T1/T4 | No | 230 | 670 | — | D | E |
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