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Pillow remember micro-fiction: nursing pillow cervical pillow small series Sissy concern neck pillow, reprint the last job for everyone to look at the symptoms of cervical spondylosis cervical spondylosis pillow% 9 cervical health prevention and treatment of cervical disease following is a battle to see the good and forwarded Sissy knowledge, if you feel bad squinting three seconds in the past: Pillow network Reminder: Internet dangers and protect the cervical spine! Changes immediately | Close core journals | Jiangzhe secondary journals | Medical Papers Download leaders of Medicine Thesis, firepot fuel gel medical thesis writing, publication, modification QQ: [Abstract] [Objective] discussion on section line through the sternum cervical thoracic spine anterior approach firepot fuel gel and clinical effects. [Way] since August 1999 - February 2006 were treated 11 cases of cervical thoracic lesions, 8 males and 3 females; aged 17 to 67 years, 41.5 years old uniform. Lesion types: trauma, tumors and tuberculosis 4,6 and 1 case each. Lesion segments: T3, C7 ~ T1 and T1,2 each one case, C7 and C6 ~ T1 each two cases, four cases of T1. Take neck chest incision surgery combined, split sternum segment, revealed cervical thoracic vertebrae, vertebral body resection of the tumor or lesion, spinal firepot fuel gel decompression, rebuild stability and internal fixation of the spine. Spinal cord function assessed by Frankel classification. [Results] were followed up for 10 to 56 months, even 31 months. One case after the first 2 d showing chyle leak about 50 ml, drainage 2 d after healing. One case presents temporary hoarseness. Postoperative recovery are different levels of spinal cord function. Boneless not blend and internal fixation firepot fuel gel failure, good stability of the spine. firepot fuel gel [Conclusion] firepot fuel gel thoracic spine sternum carotid surgery on the anterior segment revealed Heart, firepot fuel gel minimally invasive, safe surgical procedures, fewer complications, which can meet thoracic anterior cervical decompression, bone fusion and internal fixation. Should pay attention to prevent damage to the recurrent laryngeal nerve and thoracic duct. Leader firepot fuel gel in medical papers network: to provide professional medical paper writing, firepot fuel gel modify, firepot fuel gel translate, publish official website: http: //www.qclunwen.com service QQ: E-mail: Tel: Services: Pillows network, professional, honest, safe and reliable [ Key words surgical approach; cervical firepot fuel gel thoracic; firepot fuel gel surgical treatment of cervical thoracic spine [1] usually firepot fuel gel refers firepot fuel gel to C7 ~ T3 vertebrae, located in the cervical lordosis and thoracic kyphosis transitional place, its complex anatomy anterior surgical approach firepot fuel gel difficult. In the 40 cases of cadavers stopped applied anatomy research anterior cervical thoracic spine surgery (in another paper), on this foundation, since August 1999 - February 2006 to 11 cases were treated by cervical thoracic sternum upper section line road before cervical thoracic spine surgery, simple, no major structural damage, and can reveal plenty of cervical thoracic spine, treatment outcome is more desirable, are reported below. 11 cases a 1.1 Materials and methods common materials in this group, 8 males and 3 females; aged 17 to 67 years, even 45.6 years, duration 10 d ~ 2 years. Lesion segments: T3, C7 ~ T1 and T1,2 each one case, C7 and C6 ~ T1 each two cases, four cases of T1. Etiology: Trauma four cases, plasma cell tumors, tuberculosis, fibrous fat hemangioma, lung cancer metastasis, aneurysmal bone cyst, esophageal cancer metastasis and unknown primary lesions were one case. Spinal cord function assessed by Frankel classification. All the patients with different levels of the spinal cord, and nerve function damage. Incomplete paralysis seven cases, four cases have radicular symptoms. 1.2 surgical firepot fuel gel approach supine position, padded shoulders, face tendency firepot fuel gel to the right, take the left neck incision (Figure 1), issued firepot fuel gel the sternal notch cut along the top front edge of the sternocleidomastoid vertically down to the bottom level of the sternal angle on the second and third intercostal space (Figure 2). Parting and cut along the front edge of the sternocleidomastoid sternohyoideus, thyroid muscle between the sternum and clavicle ligament. Significant *** bone, sternum blunt dissection front organization, split sternum sternum along the midline to below the sternal angle 2 cm, then transected already sawn two hemi sternum (Figure 2), with a chest retractor after thyroid , trachea and esophagus pull pull to the right, to the left carotid sheath, can significantly exposed cervical thoracic firepot fuel gel spine. C-arm X-ray positioning vertebra, complete resection of the tumor lesions, partial or subtotal vertebral fracture (simple tumor resection, T1 local excision, C7 and T1 local excision, T1,2 vertebral subtotal, T3 vertebrae subtotal, C7 ~ T1 local excision and C7 vertebrae subtotal each one case, C7 vertebra subtotal four cases, T1 vertebra subtotal 3 cases), firepot fuel gel as vertebral anterior decompression, rectangular with autologous three sides iliac cortical bone or titanium mesh for added allogeneic bone interbody fusion (8 cases of autologous bone graft, titanium mesh and allograft 2 cases), nine cases of anterior cervical fixation with locking firepot fuel gel plate, the other two cases, one case only for tumor resection, firepot fuel gel and the other one case of simple bone interbody fusion. Sternum after a drainage tube placed in plasma, split sternum sternum suture fixation. 2 Results The group of 11 cases, surgical blood loss 200 ~ 1 000 ml, even 600 ml, time is 2 ~ 5 h. There were no intraoperative complications, seizures, one case after the first 2 d showing chyle leak about 50 ml, drainage 2 d after healing. One case presents temporary hoarseness, after three months to recover. All patients were followed for 10 to 56 months, one case of T1 plasma cell tumor patients after four years died of lung infection. One case of T3 vertebral metastases firepot fuel gel (unknown primary) patients after 16 months of systemic metastases and death due to systemic failure. *** Bone graft were melting. Split sternum healed without pain and other complications. firepot fuel gel Physiological curvature of the cervical spine between recovery and no implant failure, good stability of the spine (Figure firepot fuel gel 3). Postoperative neurological disorders were improved levels of pain relief in 8 patients (72.7%), three cases of patients with pain relief (27.3%). Recovery of spinal cord function are shown in Table 1. Disposal of cervical thoracic spine surgery 3 Discussion 3.1 thoracic spine disease cervical lesions are not uncommon, and mainly involving the front of the spinal cord, forming the front of the vertebral body destruction, sudden compression of the spine and spinal cord, and thus cervical thoracic disorders Before using the road often demand removal of lesions and reconstruction of spinal stability [1-7]. But cervical thoracic spine is an important regional tectonic firepot fuel gel collection, anatomical structure is complicated, there are a lot of obstacles in front of the road operative structure: sternum, clavicle, great vessels, recurrent laryngeal firepot fuel gel nerve, thoracic duct and sympathetic chain; this site potential instability, natural tendency kyphosis and retraction in front, along with the compression of the spinal cord, therefore segment surgical difficulty and risk is relatively large [8]. . a, b preoperative MRI and CT showed T3 vertebral firepot fuel gel destruction, spinal cord compression;. c, d Postoperative lateral X-ray shows bone graft and internal fixation location currently has a variety of approaches can reach cervical thoracic. (1) Low cervical anterior approach [2]. Oblique incision along the leading edge of the sternocleidomastoid muscle, and the gap visceral vascular sheath into the sheath, may be exposed C7 ~ T1. However, due to obstacles clavicle, sternum and upper thoracic kyphosis nature, which revealed a small range, on thin and shorter neck, revealing firepot fuel gel more difficult [8], but also increases the potential associated with the approach of the recurrent laryngeal nerve, damage to blood vessels and esophagus. firepot fuel gel (2) "open" style neck before thoracic approach [3]. Also known as transthoracic combined anterior cervicothoracic can reveal C4 ~ T3, but the way the complex anatomy of the lower cervical spine revealed and the operation is not desirable [8]. (3) combined cervical and thoracic approach [4]. Neck clavicle using parallel incisions in the gaps after entering the carotid sheath, exposing the bottom of the third rib resection and loose scapula completed, both from the collarbone to the top of the ribs in the chest channel connectivity. Suitable for general multi cervicothoracic junction of structural deformities and diseases and hair segments anterior patients need surgery. This approach trauma, postoperative complications firepot fuel gel are likely to attack. (4) full sternotomy revealed cervical thoracic spine [5]. Mediastinal expose its approach is better, easier for vascular control, can reveal T3,4 vertebrae, but more complications, and does not demand split sternum under section [9]. Improvement (4) Sunderasan sternum [9] proposed approach. Using the anterior chest wall of "T"-shaped incision in the neck parting gap inside firepot fuel gel the carotid sheath stops, strap muscles and sternocleidomastoid were cut off from the clavicle, the third of the sternal half and clavicle resection and reserved for bone grafting, firepot fuel gel may reveal C3 ~ T4. However, this approach transverse incision local demand on the other side does not extend to the neck, sternum resection can increase the exposure of the operative field, and it can not be used as a bone graft [1], and mergers have ligaments between the collarbone and chest acromioclavicular joint complications after resection [6]. Leader in medical papers network: to provide professional medical paper writing, modify, translate, publish official website: http: //www.qclunwen.com service QQ: E-mail: Tel: Services: firepot fuel gel Pillows network, professional, honest, safe and reliable 3.2 Premenstrual sternum upper segment carotid surgery thoracic spine road features of this surgical simple, stop gap in the organization, does not affect the important structure, and is able to stop the bleeding large vessels. Sternal angle corresponding to the degree T4,5 main vertebral firepot fuel gel (95%), and the cross after sternotomy distraction for (60.8 1.64) mm, it split the breastbone to expose the sternal angle to meet the needs of cervical thoracic spine. In addition, only a partial split sternum, without the chest, preventing pulmonary complications. This approach clearly revealed the operative field, may operate under direct vision, to prevent damage to important structures can be implemented cervical vertebrae and thoracic discectomy, deformity, bone fusion and internal fixation devices. Mimic this surgical anatomy measure, the segment sternum cervical thoracic spine revealed cranial surgical field, corresponding to the degree caudal vertebrae were mainly: C3,4 disc, C4 vertebrae (75.6%) and T3 vertebrae, T3,4 disc (86.8%), therefore the road is mainly applied to C6 ~ T3 vertebral firepot fuel gel lesions. 3.3 advantage on the road section on the left of the sternum in the neck after thoracic anterior approach to select the left and right side of the problem which constantly controversial. Ebraheim [10] discuss the relationship between the recurrent laryngeal nerve and anterior cervical surgery, found in the left recurrent laryngeal nerve in the tracheoesophageal groove and anatomical location of the longer stroke compared to a constant, while the right than the left recurrent laryngeal firepot fuel gel nerve stroke variation big, so right greater risk than the left side of the road into the path surgical injury. Author's research also supports the notion Ebraheim anatomy (Figure 4.5). Also left and right recurrent firepot fuel gel laryngeal nerve in the back fans were major turning point for T3,4 flat disc, T4 vertebral body (75.6%) and T1,2 disc, T2 vertebral body (82.0%); the left aortic arch, right subclavian artery and vertebral rim major degree relative positions respectively T3 vertebral body (73.7%) and T1 vertebrae (70.0%), so the right side of the road may be exposed to ordinary T1 vertebra, and the left does not affect the neck thoracic vertebrae revealed and operations. Although the possibility of damage to the left side of the road into the thoracic duct is increased, but the thoracic duct ligation and no episodes of catheter-related illnesses reported in [11]. 3.4 Intraoperative attention to matters left to the right recurrent laryngeal nerve injury compared with relatively easy, but because surgery firepot fuel gel is generally not free, to both sides of the retractor when its high tension, and its activity is limited, especially near the recurrent laryngeal nerve in fans the nerve at the back fold; addition, anterior firepot fuel gel cervical plate wide and long enough to view and operate the space, larger incision required to reveal the scope of the caudal excessive firepot fuel gel traction will form the recurrent laryngeal nerve injury. The group one case of recurrent laryngeal nerve traction injury caused by temporary hoarseness, after three months to recover. Thoracic duct was left at the height of the bow across the pleura C7 top, crossed the vertebral artery and vein, into the jugular vein under outward angle triangle from the carotid sheath front, left side of the road so easy to damage the thoracic duct, pay attention to maintenance, especially in the jugular vein angle triangle - intraoperative warning area, because the thoracic duct from neck to inject intravenous vascular sheath front section of the trip are covered in this area, if found to be timely thoracic duct ligation injury. The group, one case of postoperative drainage tube section 2 d chylous fluid drained about 50 ml, thinking of the thoracic duct of collateral damage, after radical treatment 2 d heal. If the daily chylous drainage pillow 500 ~ 1 000 ml after radical treatment no significant improvement over one week or daily chylous drainage 1 000 ml or more should be treated surgically. firepot fuel gel [References] [1] Kurz LT, Pursel SE, Herkowitz HH.Modified anterior approach to the cervicothoracic junction [J] .Spine, 19