{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:23:46Z","timestamp":1787765026854,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Direct anterior approach to the cervicothoracic spine (C7-T4) for surgery can be challenging via a standard anterior cervical incision as a result of the important neurovascular structures crowding the cervicothoracic junction. Where indicated, median sternotomy provides improved access to this region of the spine for interventions. From the paucity of published literature in West Africa, this adjunct appears to be quite unpopular among spine surgeons in our sub-region. We report the presentation, preoperative evaluation, operative technique and outcome of treatment of a 66-year-old man with multiple myeloma affecting T1 with the same vertebral body collapse, who had full median sternotomy, anterior T1 decompression with C7-T2 Spinal fixation. Where indicated, an anterior trans-sternal approach to the cervicothoracic spine offers good exposure to T2\/T3 vertebral body for decompression and instrumentation with minimal risks and morbidity. Spine surgeons in the West African subregion should utilize this important collaboration with thoracic surgeons to achieve satisfactory access to spine surgery within the thoracic cavity.<\/jats:p>","DOI":"10.4103\/jwas.jwas_98_23","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T08:18:44Z","timestamp":1702282724000},"page":"121-124","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Median sternotomy as a useful adjunct to anterior cervicothoracic spine decompression and fixation: A plea for its popularity among spine surgeons in West Africa"],"prefix":"10.4103","volume":"14","author":[{"given":"Ikechukwuka Ifeanyichukwu","family":"Alioke","sequence":"first","affiliation":[{"name":"Department of Surgery, Cardiothoracic Surgery Division, Federal Medical Centre, Jabi, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biodun","family":"Ogungbo","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Brain and Spine Surgery Ltd, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ega","family":"Otorkpa","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunde","family":"Olawoye","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Federal Medical Centre, Jabi, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazeem","family":"Obisesan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Kubwa General Hospital, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikudaisi","family":"Folajinmi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Federal Medical Centre, Jabi, Abuja, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"CIT0001-20240907","first-page":"e19421","article-title":"Sternotomy approach to the anterior cervicothoracic spine","volume":"13","author":"Fiani","year":"2021","journal-title":"Cureus"},{"key":"CIT0002-20240907","doi-asserted-by":"crossref","first-page":"112","DOI":"10.11604\/pamj.2017.28.112.12948","article-title":"Full median sternotomy approach for treatment of upper thoracic vertebral tuberculosis in a developing country: Case report and short literature review","volume":"28","author":"Okyere","year":"2017","journal-title":"Pan Afr Med J"},{"key":"CIT0003-20240907","doi-asserted-by":"crossref","first-page":"e0192581","DOI":"10.1371\/journal.pone.0192581","article-title":"Selection of surgical treatment approaches for cervicothoracic spinal tuberculosis: A 10-year case review","volume":"13","author":"Zhu","year":"2018","journal-title":"PLoS ONE"},{"key":"CIT0004-20240907","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s00586-006-0239-0","article-title":"Surgical management for upper thoracic spine tumors by a transmanubrium approach and a new space","volume":"16","author":"Xiao","year":"2007","journal-title":"Eur Spine J"},{"key":"CIT0005-20240907","first-page":"onsE165","article-title":"Simple method for determining the need for sternotomy\/manubriotomy with the anterior approach to the cervicothoracic junction","volume":"65","author":"Karikari","year":"2009","journal-title":"Neurosurgery"},{"key":"CIT0006-20240907","doi-asserted-by":"crossref","first-page":"226","DOI":"10.3171\/spi.2005.2.2.0226","article-title":"A transsternoclavicular approach for the anterior decompression and fusion of the upper thoracic spine. Technical note","volume":"2","author":"Tamura","year":"2005","journal-title":"J Neurosurg Spine"},{"key":"CIT0007-20240907","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.surneu.2005.08.017","article-title":"A perspective for the selection of surgical approaches in patients with upper thoracic and cervicothoracic junction instabilities","volume":"65","author":"Kaya","year":"2006","journal-title":"Surg Neurol"},{"key":"CIT0008-20240907","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/foc.2002.12.1.8","article-title":"Anterior cervicothoracic junction corpectomy and plate fixation without sternotomy","volume":"12","author":"Resnick","year":"2002","journal-title":"Neurosurg Focus"},{"key":"CIT0009-20240907","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1001\/archsurg.141.10.1025","article-title":"Methods and complications of anterior exposure of the thoracic and lumbar spine","volume":"141","author":"Ikard","year":"2006","journal-title":"Arch Surg"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_98_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:53:41Z","timestamp":1787763221000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_98_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,14]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_98_23","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,14]]},"assertion":[{"value":"2023-04-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}