Thoracic Outlet Syndrome Caused by Bilateral Cervical Ribs of the Eighth Cervical Vertebra: A Case Report.

CASE: We experienced a rare case of thoracic outlet syndrome caused by bilateral cervical ribs (CR) arising from the 8th cervical vertebra and resected using a supraclavicular approach. Eight months after the left surgery, the remnant of the CR, which could not be removed, was enlarged and compressed the neurovascular bundle again. Reoperation was performed using a transaxillary endoscopic approach. The patient had no symptoms or recurrence 5 years after the final surgery.

CONCLUSION

The 8th cervical vertebra is rarely encountered. The transaxillary endoscopic approach was helpful for resectioning the CR under the clavicle.