AI Article Synopsis

  • Chordoma is a rare tumor that originates from notochordal tissue, typically found in adults and usually affects the sacrum or skull base; however, a rare case of L3 chordoma in a 7-year-old child is reported.
  • Mobile segment chordomas are more aggressive and have a higher likelihood of metastasis compared to sacral and clival chordomas, resulting in a poorer 5-year survival rate.
  • The preferred treatment for vertebral chordoma is extensive surgical removal and reconstruction, and this case involved staged vertebrectomy and fibular strut graft, with follow-up results presented after 8 years.

Article Abstract

Chordoma is a tumour of notochordal origin which usually involves the sacrum or skull base presenting in adulthood. Chordoma in a mobile spinal segment is infrequent and the authors report an extremely rare presentation of L3 chordoma in a child aged 7 years. Although a benign tumour, mobile segment chordoma is more locally aggressive, more likely to metastasise and has a poorer 5 year survival than sacral and clival lesions. Wide surgical excision and reconstruction is the treatment of choice in vertebral chordoma. This case was treated with staged vertebrectomy and fibular strut graft reconstruction and the results of clinical and radiological follow up at 8 years are presented.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1602195PMC
http://dx.doi.org/10.1007/s00586-006-0138-4DOI Listing

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