Abstract

Background: A cervical rib extends laterally and forward usually from the transverse process of C7, into the
posterior triangle of the neck, where it may terminate as a free end or may join the first thoracic rib, via a fibrous
band. It varies in shape, size, direction, and mobility. If it reaches far enough forward, part of the brachial plexus
and the subclavian artery and vein cross over it and are apt to sustain compression, thus leading to the clinical
symptomatology. Aim of the work: This study aimed to show the effect of cervical rib resection for symptomatic
cervical rib. Patients and Methods: Prospective cohort study carried out at Surgical Unit Al Azhar University
(Damietta), El-Mataria teaching hospital and others centers which conducted on 25 cases. This study performed
between January 2019 and December 2020. Results: modified supraclavicular interscalene approach for
symptomatic cervical ribs resection effective in management of pain. Conclusion: modified supraclavicular
interscalene approach for symptomatic cervical ribs resection has been shown to be effective in the neuralgic pain
treatment.

Key words: thoracic outlet syndrome; cervical rib