Research Article

Mini Transsternal Approach to the Anterior High Thoracic Spine (T1–T4 Vertebrae)

Table 1

Case series.

Case number Age/sexDiseaseAffected levelAnterior spinal fusion levelPosterior fixOperative time (min)Blood loss (mL)Perioperative complicationsFrankel grade PreoperativeFrankel grade Last follow-up

133, MDiscT3/4No150450DE
244, F DiscT3/4No180700DE
338, FDiscT2/3No170560CD
439, FAdjacent level pathology (ankylosing spondylitis)C6/7 subluxation with severe flexion deformityC4-T3Yes280900DD
552, FMetastasis (breast)T1C7/T2Yes180750PneumoniaDE
646, FMetastasis (breast)T1 (C7/T2 corpectomy)C6-T3Yes210900DD
753, FMetastasis (breast)T3T2/T4No200860Intercostal painCC
850, MMetastasis (colon)T2T1/T3No170650DD
940, MMetastasis (lung)T3T2–T4No220850DE
1043, MMetastasis (leiomyosarcoma)T2/3T1/4No250750DD
1139, FTraumatic fractureT3T2/T4Yes250950BD
1226, MTBT1/2C7/T3Yes1801050DE
1343, MTBT2/3T1/T4No250750CE
1445, FTBT1/2C7/T3Yes230900CD
1553, MTBT2/3T1/T4No1801100BC
1646, FTBT1/2C7/T3No230870Intercostal painDE
1748, MTBT3T2/T4No220750DE
1839TBT2/3T1/T4No230670DE