{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:00Z","timestamp":1787755440787,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We experienced a rare case of thoracic outlet syndrome caused by bilateral cervical ribs (CR) arising from the 8th cervical vertebra and resected using a supraclavicular approach. Eight months after the left surgery, the remnant of the CR, which could not be removed, was enlarged and compressed the neurovascular bundle again. Reoperation was performed using a transaxillary endoscopic approach. The patient had no symptoms or recurrence 5 years after the final surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The 8th cervical vertebra is rarely encountered. The transaxillary endoscopic approach was helpful for resectioning the CR under the clavicle.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00132","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T18:01:10Z","timestamp":1760637670000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic Outlet Syndrome Caused by Bilateral Cervical Ribs of the Eighth Cervical Vertebra"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3500-5755","authenticated-orcid":false,"given":"Hiroshi","family":"Satake","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9261-3132","authenticated-orcid":false,"given":"Toshiya","family":"Nito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5163-5095","authenticated-orcid":false,"given":"Masahiro","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3052-787X","authenticated-orcid":false,"given":"Michiaki","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"11","key":"bib1-20251016","doi-asserted-by":"crossref","first-page":"e545","DOI":"10.1016\/j.jse.2022.06.026","article-title":"Thoracic outlet syndrome: a review","volume":"31","author":"Panther","year":"2022","journal-title":"J Shoulder Elbow Surg."},{"key":"bib2-20251016","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.avsg.2018.02.029","article-title":"Outcomes of transaxillary approach to cervical and first-rib resection for neurogenic thoracic outlet syndrome","volume":"51","author":"Jayaraj","year":"2018","journal-title":"Ann Vasc Surg."},{"issue":"3","key":"bib3-20251016","first-page":"130","article-title":"Polythelia and supernumerary cervical and thoracic vertebrae","volume":"2","author":"van 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