Surgery for the treatment of Thoracic Outlet Syndrome is among the controversial orthopedic / neurosurgical procedures regarding the results. Many articles comment on excellent results, while others reveal disappointing results. In the case of Neurogenic Thoracic Outlet Syndrome what are your results? Do you perform decompression of the plexus nerve elements only through supraclavicular approach or through axillary approach? Do you also perform costotomy during your approach?
The neurogenic variant of the thoracic outlet syndrome is rare, as a result the literature is not consistent about its treatment outcome.
The surgical approach chosen is determined by the location of the nerve root compression; in pure neurogenic thoracic outlet syndrome i go aggressive with full exposure to the brachial plexus all the way down to the axillary.
The outcome measured based on the severity of the disease but overall 6 out of 10 patients will be satisfied.
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