The purpose of this technical/case report is to demonstrate that the appropriate oncological principle of margin-free, tumour en bloc removal can be successfully achieved in a large multilevel chordoma with C-2 involvement, with limited morbidity. Although technically challenging, such an approach offers the patient's best chance for cure.
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| http://dx.doi.org/10.3109/02688697.2012.685785 | DOI Listing |
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[An application of posterior cervical and transoral approaches to treating primary malignant osseous tumors in craniovertebral junction].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
September 2020
Department of Orthopedics, General Hospital of Southern Theatre Command of Chinese PLA, Guangzhou Guangdong, 510010, P.R.China.
Objective: To investigate the surgical method for primary malignant osseous tumors in the craniovertebral junction (CVJ) and its effectiveness.
Methods: The clinical data of 7 patients with primary malignant osseous spinal tumors in CVJ, which collected between September 2010 and April 2019, were retrospectively analyzed. There were 5 males and 2 females, aged 23 to 75 years (median, 56 years).
OBJECTIVE There has been a recent renewed interest in the use and potential applications of 3D printing in the assistance of surgical planning and the development of personalized prostheses. There have been few reports on the use of 3D printing for implants designed to be used in complex spinal surgery. METHODS The authors report 2 cases in which 3D printing was used for surgical planning as a preoperative mold, and for a custom-designed titanium prosthesis: one patient with a C-1/C-2 chordoma who underwent tumor resection and vertebral reconstruction, and another patient with a custom-designed titanium anterior fusion cage for an unusual congenital spinal deformity.
View Article and Find Full Text PDFOutcomes following attempted en bloc resection of cervical chordomas in the C-1 and C-2 region versus the subaxial region: a multiinstitutional experience.
J Neurosurg Spine
September 2014
Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland;
Object: Chordomas involving the mobile spine are ideally managed via en bloc resection with reconstruction to optimize local control and possibly offer cure. In the cervical spine, local anatomy poses unique challenges, limiting the feasibility of aggressive resection. The authors present a multi-institutional series of 16 cases of cervical chordomas removed en bloc.
View Article and Find Full Text PDFThe use of intraoperative navigation for complex upper cervical spine surgery.
Neurosurg Focus
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Department of Neurosurgery, Kaiser Permanente Medical Group, Sacramento, California; and Department of Neurosurgery, University of California, San Francisco, California.
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View Article and Find Full Text PDFEn bloc resection of a multilevel high-cervical chordoma involving C-2: new operative modalities: technical note.
J Neurosurg Spine
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Department of Neurosurgery, The Kaiser Permanente Medical Group, Sacramento, California, USA.
En bloc resection of cervical chordomas has led to longer survival rates but has resulted in significant morbidities from the procedure, especially when the tumor is multilevel and located in the high-cervical (C1-3) region. To date, there have been only 5 reported cases of multilevel en bloc resection of chordomas in the high-cervical spine. In this technical report the authors describe a sixth case.
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