Journal Information
Vol. 12. Issue 3.
Pages 255 (January 2001)
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Vol. 12. Issue 3.
Pages 255 (January 2001)
1. Abordaje transternal a la columna dorsal alta
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M. Clavel Escribano, P. Clavel Laria
Clínica del Pilar. Barcelona
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A pesar de los avances técnicos existen lesiones vertebrales que por su localización ofrecen grandes dificultades como son las lesiones de columna dorsal alta (D1 a D4).

Presentamos la forma en que abordamos dos enfermos con patología compleja de columna dorsal alta. Uno con melanoma vertebromedular, y otro con un proceso inflamatorio inespecífico y obesidad mórbida. Ambos con tetraparesia grave.

Para ambos casos hemos utilizado un abordaje transmanubrial que es una variante del abordaje transesternal ya propuesto hace años por Sundaresan et al.

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