ABSTRACT
Standard anterior approaches to the cervicothoracic junction of the spine provide inadequate exposure. For this reason, various techniques of exposure are developed. One of these is Sundaresan's technique in which a part of the manubrium sterni and medial clavicle is resected. This technique provides good visibility and working area at the lesion level but causes a significant bony defect. We modified Sundaresan's technique and did not damage the sternoclavicular joint. After decompression and fusion was completed, the osteotomized segment was replanted. We performed this technique in a case of Pott's disease and had no problem with union at the osteotomy sites.
Subject(s)
Cervical Vertebrae/surgery , Clavicle/surgery , Manubrium/surgery , Osteotomy/methods , Thoracic Vertebrae/surgery , Abscess/diagnosis , Abscess/diagnostic imaging , Abscess/surgery , Decompression, Surgical , Drainage , Female , Humans , Magnetic Resonance Imaging , Medical Illustration , Middle Aged , Radiography , Replantation , Spinal Fusion , Tuberculosis, Spinal/diagnosis , Tuberculosis, Spinal/surgeryABSTRACT
A case with various skeletal abnormalities, soft tissue masses and skin lesions diagnosed as Proteus syndrome is reported. Proteus syndrome is included in the differential diagnosis of many disorders, because of the polymorphous nature of its clinical manifestations. It is a rare disorder and leads to functional disabilities as well as cosmetic and psychological problems. Early diagnosis and careful follow-up with appropriate surgical interventions is important in preventing long-term complications.
