This approach may be indicated for first rib resection in thoracic outlet syndrome or tumors involving the first rib. The vertical muscle cutting approach is relatively morbid. The horizontal muscle splitting approach is much more elegant but carries the risk of injuring the spinal accessory nerve.

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Brachial Plexus, Posterior Exposure

  • Amgad S. Hanna,
  • Mark E. Ehlers

摘要

This approach may be indicated for first rib resection in thoracic outlet syndrome or tumors involving the first rib. The vertical muscle cutting approach is relatively morbid. The horizontal muscle splitting approach is much more elegant but carries the risk of injuring the spinal accessory nerve.