Supraclavicular Resection of a Cervical Rib Causing Thoracic Outlet Syndrome: 2-Dimensional Operative Video

Stephen Shelby Burks, Erin M. Wolfe, Jang Won Yoon, Allan D. Levi

Research output: Contribution to journalArticlepeer-review

Abstract

Presence of a cervical rib results from overdevelopment of the seventh cervical vertebrae.1-3 The cervical rib along with scalene muscles can cause neurogenic thoracic outlet syndrome.4,5 Rib resection is typically done via anterior approach, using either supraclavicular or transaxillary route.6,7 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.

Original languageEnglish (US)
Pages (from-to)E520
JournalOperative neurosurgery (Hagerstown, Md.)
Volume19
Issue number5
DOIs
StatePublished - Oct 15 2020
Externally publishedYes

Keywords

  • Cervical rib
  • Neurogenic thoracic outlet syndrome

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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