Delayed chest wall pain due to sternal wire sutures

Eastridge, Charles E.; Mahfood, Saade; Walker, W. Allan; Cole, Francis H.

doi:10.1016/0003-4975(91)90448-y

Cited by 26 publications

(20 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is the impression of the authors that sternotomy may unnecessarily increase the morbidity of surgery in this region. Sternotomy may be associated with altered respiratory mechanics [11], rib fractures [4,7], pain syndromes [5], and brachial plexus injuries [15].…”

Section: Discussionmentioning

confidence: 99%

“…Most described approaches to this region involve either a high thoracotomy or at least a limited sternotomy [3,8,9,[14][15][16][17][18][19]. From the cardiothoracic literature, it is clear that sternotomy can be associated with significant morbidity [4,5,7,10,11,15]. For treatment of metastatic lesions of the upper thoracic spine, the authors favor an anterior approach performed without sternotomy.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Anterior thoracic corpectomy without sternotomy: A strategy for malignant disease of the upper thoracic spine

1997

View full text Add to dashboard Cite

The goal of cancer surgery is to provide for increased functional survival without undue morbidity. The authors feel that when possible, the pain of sternal and clavicular osteotomies should be avoided. The described approach works well in conjunction with a methyl methacrylate/Steinmann pin construct. Because of the intact sternum, the surgeon has a downward angle to access the superior endplate of T3. With adequate soft tissue dissection and retraction as described, however, T3 and perhaps even T4 are easily accessible. While this downward angle would likely not permit an anterior plating procedure, it lends itself nicely to Steinmann pin/methyl methacrylate fusion and spares the patient the pain and potential morbidity of sternotomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Anterior thoracic corpectomy without sternotomy: A strategy for malignant disease of the upper thoracic spine

1997

View full text Add to dashboard Cite

show abstract

“…The largest series of wire removal for persistent anterior chest wall pain, previously reported in the literature, included 18 patients [2].…”

Section: Introductionmentioning

confidence: 99%

“…In the absence of these obvious causes, persistent anterior chest wall pain may be attributed to the sternal wire sutures, either by direct sternal or periostial irritation [3]. Other reasons such as scar-entrapped sensory nerve fibers [2,4] and hypersensitivity reaction to metals in the wires, especially nickel, have been described [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

The outcome of sternal wire removal on persistent anterior chest wall pain after median sternotomy

Nørgaard

Andersen²,

Lavrsen³

et al. 2006

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…From the spinal and cardiothoracic literature, however, it is clear that splitting the sternum or resecting part of clavicle might lead to some complications, such as chronic pain, pneumothorax, infection, sternal dehiscence, nonunion of the clavicle, pseudarthrosis, and instability of the sternoclavicular joint [1,5,7,13,20,22].…”

Section: Introductionmentioning

confidence: 99%

Mini-open anterior approach to the cervicothoracic junction: a cadaveric study

et al. 2013

View full text Add to dashboard Cite

Purpose To investigate the feasibility of mini-open anterior approach to the cervicothoracic junction (CTJ) in cadaveric specimens. Methods Four adult fresh-frozen cadaveric specimens were used for this study. On the cadaveric specimen, an osteotomy window was made in manubrium sterni to remove the bony obstacle. To bypass the vital vascular and neural structures over the operative field, we used the surgical corridor which was located medially by the brachiocephalic artery and laterally by the right brachiocephalic vein, or in combination with another surgical corridor between the ascending aorta and the superior vena cava. And we used a special self-retaining retractor system and an endoscope to facilitate the procedures. Results Surgical procedures performed on the four freshfrozen cadaveric specimens to expose the CTJ through mini-open anterior approach were successful. The anterior surface of C6-T5 could be exposed, allowing complete decompression and application of locking plate and screws. The most caudal accessible vertebral body was T5 vertebral body in our study. Conclusion It is feasible to expose the CTJ through this mini-open anterior approach.

show abstract

Delayed chest wall pain due to sternal wire sutures

Cited by 26 publications

References 8 publications

Anterior thoracic corpectomy without sternotomy: A strategy for malignant disease of the upper thoracic spine

Anterior thoracic corpectomy without sternotomy: A strategy for malignant disease of the upper thoracic spine

The outcome of sternal wire removal on persistent anterior chest wall pain after median sternotomy

Mini-open anterior approach to the cervicothoracic junction: a cadaveric study

Contact Info

Product

Resources

About