{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:51:51Z","timestamp":1786125111561,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T00:00:00Z","timestamp":1590192000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Presence of a cervical rib results from overdevelopment of the seventh cervical vertebrae.\n                    <jats:sup>1-3<\/jats:sup>\n                    The cervical rib along with scalene muscles can cause neurogenic thoracic outlet syndrome.\n                    <jats:sup>4,5<\/jats:sup>\n                    Rib resection is typically done via anterior approach, using either supraclavicular or transaxillary route.\n                    <jats:sup>6,7<\/jats:sup>\n                    We present an operative video detailing supraclavicular resection of a cervical rib causing neurogenic thoracic outlet syndrome with direct decompression of the lower trunk of the brachial plexus. The patient presented with severe symptoms including hand atrophy. We were able to directly visualize the rib and resect it, along with scalene musculature. We present 3-mo follow-up data noting clinical improvement in neuropathic symptoms.\n                  <\/jats:p>","DOI":"10.1093\/ons\/opaa139","type":"journal-article","created":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T15:09:54Z","timestamp":1590246594000},"page":"E520-E520","source":"Crossref","is-referenced-by-count":2,"title":["Supraclavicular Resection of a Cervical Rib Causing Thoracic Outlet Syndrome: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"19","author":[{"given":"Stephen Shelby","family":"Burks","sequence":"first","affiliation":[{"name":"Miami Project to Cure Paralysis, Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin M","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Miami Project to Cure Paralysis, Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jang Won","family":"Yoon","sequence":"additional","affiliation":[{"name":"Miami Project to Cure Paralysis, Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0713-8497","authenticated-orcid":false,"given":"Allan D","family":"Levi","sequence":"additional","affiliation":[{"name":"Miami Project to Cure Paralysis, Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,11]]},"reference":[{"issue":"5","key":"bib1-20231031","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1002\/mus.880120512","article-title":"The thoracic outlet syndrome: controversies, overdiagnosis, overtreatment, and recommendations for management","volume":"12","author":"Cuetter","year":"1989","journal-title":"Muscle Nerve"},{"issue":"1","key":"bib2-20231031","first-page":"34","article-title":"[True neurological thoracic outlet syndrome]","volume":"156","author":"Le Forestier","year":"2000","journal-title":"Rev Neurol (Paris)"},{"issue":"6","key":"bib3-20231031","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/NRL.0b013e318176b98d","article-title":"Thoracic outlet syndrome: a review","volume":"14","author":"Sanders","year":"2008","journal-title":"Neurologist"},{"issue":"9","key":"bib4-20231031","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1016\/j.pain.2011.04.027","article-title":"Botulinum toxin injection for management of thoracic outlet syndrome: a double-blind, randomized, controlled trial","volume":"152","author":"Finlayson","year":"2011","journal-title":"Pain"},{"issue":"3","key":"bib5-20231031","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.jvs.2007.04.050","article-title":"Diagnosis of thoracic outlet syndrome","volume":"46","author":"Sanders","year":"2007","journal-title":"J Vasc Surg"},{"issue":"6","key":"bib6-20231031","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/0741-5214(89)90005-0","article-title":"The treatment of thoracic outlet syndrome: a comparison of different operations","volume":"10","author":"Sanders","year":"1989","journal-title":"J Vasc Surg"},{"issue":"4","key":"bib7-20231031","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1227\/01.NEU.0000137333.04342.4D","article-title":"Thoracic outlet syndrome","volume":"55","author":"Huang","year":"2004","journal-title":"Neurosurgery"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/19\/5\/E520\/37867715\/opaa139.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:50:26Z","timestamp":1786121426000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,23]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opaa139","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,23]]}}}