上胸椎肿瘤因其邻近解剖结构复杂,手术显露困难,手术风险及难度较大,既往大多采用后路手术。采用后路手术不仅达不到椎体肿瘤切除的目的,加之后路固定装置的缺乏,反而可能增加上胸椎椎体的不稳定[1]。2002年6月~2005年1月,我院对26例上胸椎肿瘤患者,采用我院改良的经胸骨柄入路 Due to the complex anatomical structure of the adjacent thoracic vertebrae, the surgical exposure is difficult, and the surgical risk and difficulty are high. Most of the previous thoracic vertebrae use posterior surgery. The use of posterior surgery not only fails to achieve the goal of excision of the vertebral body, but the lack of posterior fixation devices may increase the instability of the upper thoracic vertebral body [1]. From June 2002 to January 2005, 26 cases of upper thoracic tumors in our hospital were treated with modified sternal approach in our hospital.