Universität zu Köln

Oikonomidis, Stavros, Scaal, Martin, Eysel, Peer, Bredow, Jan and Scheyerer, Max Joseph (2020). Anatomical investigation of the segmental vessels for the right-sided anterior surgical approach to the thoracic spine: a human cadaver study. Surg. Radiol. Anat., 42 (8). S. 961 - 969. PARIS: SPRINGER FRANCE. ISSN 1279-8517

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Abstract

Purpose Anterior surgical approaches to the thoracic spine are common procedures for the treatment of many diseases of the thoracic spine. Purpose of this anatomic study is to investigate the course of the segmental vessels of the thoracic spine for the anterior and lateral transthoracic approach from the right side. Methods 26 formalin-fixed human cadavers (20 femaless/6 male) with an average age of 84.9 +/- 8.3 (range 67-97) were included. The segmental arteries and veins of the right thoracic cavity coursing between the third and twelfth thoracic vertebral body have been investigated. To define the localization of the vessels in accordance with the associated vertebral bodies, the distance between the endplates and vessels was measured in the ventral, middle and dorsal parts. Results The results of the study reveal that not only one, but also two segmental arteries and veins may course over the right hemi-vertebral body, especially in the upper and middle thoracic spine. Furthermore, in the middle and lower thoracic spine (T7-T12) the vessels course over the middle and lower third of the craniocaudal extent of the vertebral body. On the contrary, in the upper thoracic spine (T3-T6), the vessels may course over the entire extent of the vertebral body. Conclusion Due to these common anatomic variations and variability of the course of the segmental vessels, spinal surgeons should remain careful in the identification of the segmental vessels in order to minimize risk of vascular injury in case of right-sided anterior and lateral approach to the thoracic spine.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Oikonomidis, Stavros UNSPECIFIED UNSPECIFIED UNSPECIFIED Scaal, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, Max Joseph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-341577
DOI:	10.1007/s00276-020-02446-2
Journal or Publication Title:	Surg. Radiol. Anat.
Volume:	42
Number:	8
Page Range:	S. 961 - 969
Date:	2020
Publisher:	SPRINGER FRANCE
Place of Publication:	PARIS
ISSN:	1279-8517
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Anatomy & Morphology; Radiology, Nuclear Medicine & Medical Imaging; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34157