Neuroanatomy of Cervical Sympathetic Trunk: A Cadaveric Study

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dc.contributor.authorSaylam, Canan Y.
dc.contributor.authorOzgiray, Erkin
dc.contributor.authorOrhan, Mustafa
dc.contributor.authorCagli, Sedat
dc.contributor.authorZileli, Mehmet
dc.date.accessioned2019-10-27T20:52:35Z
dc.date.available2019-10-27T20:52:35Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractTo reduce the risk of iatrogenic injury to sympathetic chain during anterior and anterolateral approaches to the cervical spine, its location has to be well defined and known by surgeons. We analyzed the course of sympathetic chain and its ganglia from C7 up to its entry into the cranial base and its relationship mainly with the longus colli (LC). Formalin fixed 20 human cadavers were dissected under operating microscope. Measurement of the dimensions of the ganglia, distance of the trunk to the LC, and the angles identifying the course of the chain were performed. Superior and inferior cervical/cervicothoracic ganglion were observed in all specimens, the middle cervical ganglion was observed in 48% of the specimens. The middle ganglion consisted of two ganglia in 10% of the dissected sides. Forty percent of the inferior cervical/cervicothoracic ganglion was at the C7 level, 25% was at C7-Th1 disc level, and 35% was at Th1 level. Vertebral ganglion was detected in only 8% of the specimens. The course of the sympathetic trunk converges medially descending from upper cervical levels to the lower levels. Anterior surgical approach to the cervical spine is a commonly used procedure. Although Horner syndrome due to sympathetic injury is not a common sequence of cervical operations, our findings support the current few reports on the subject and should be useful to any surgeon who operates in the cervical region to avoid this uncommon complication. Clin. Anat. 22:324-330, 2009. (C) 2009 Wiley-Liss, Inc.en_US
dc.identifier.doi10.1002/ca.20764en_US
dc.identifier.endpage330en_US
dc.identifier.issn0897-3806
dc.identifier.issue3en_US
dc.identifier.pmid19173257en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage324en_US
dc.identifier.urihttps://doi.org/10.1002/ca.20764
dc.identifier.urihttps://hdl.handle.net/11454/43246
dc.identifier.volume22en_US
dc.identifier.wosWOS:000264702500007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Lissen_US
dc.relation.ispartofClinical Anatomyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsympathetic cervical ganglionen_US
dc.subjectsympathetic trunken_US
dc.subjectHorner syndromeen_US
dc.subjectspine surgeryen_US
dc.subjectlongus collien_US
dc.titleNeuroanatomy of Cervical Sympathetic Trunk: A Cadaveric Studyen_US
dc.typeArticleen_US

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