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Fred C. Lam and Michael W. Groff

described an anterior cervical approach with a median sternotomy to access the cervicothoracic junction. In 1960, Hodgson et al. 7 described the high anterior transthoracic approach, which allowed for access to the upper thoracic segments but had limited to no exposure of the lower cervical spine ( Fig. 5 , Approach 5). Sundaresan and colleagues 20 repopularized the low anterior cervical approach, incorporating an additional resection of the medial third of the clavicle for increased exposure ( Fig. 5 , Approach 2). This approach was followed by several different

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Lorenzo Nigro

resulted at the time of the 5th fraction of radiotherapy, and a posterior decompression and fixation with sublaminar hooks was performed to give space to the spinal cord and reduce spinal instability. Afterward, the patient was referred to our hospital, and we performed a T6–7 corpectomy followed by the insertion of a titanium expandable cage via a transthoracic approach, to restore the sagittal alignment and obtain a histological diagnosis. According to a literature review, case series have demonstrated good results in using radiotherapy for vertebral hemangiomas. 2