Document Detail

En bloc resection of multilevel cervical chordoma with C-2 involvement. Case report and description of operative technique.
MedLine Citation:
PMID:  15739534     Owner:  NLM     Status:  MEDLINE    
Chordomas are locally aggressive neoplasms with an extremely high propensity to recur locally following resection, despite adjuvant therapy. This biological behavior has led most authors to conclude that en bloc resection provides the best chance for the patient's prolonged disease-free survival and possible cure. The authors present a case of an extensive upper cervical chordoma treated by en bloc resection, reconstruction, and long-segment stabilization. Total spondylectomy of C2-4 with sacrifice of the right C2-4 nerve roots and a segment of the right vertebral artery was performed. The inherent anatomical complexities of en bloc resection in the upper cervical spine are discussed. To the authors' knowledge, this represents the first report of an en bloc resection for multi-level cervical chordoma.
Laurence D Rhines; Daryl R Fourney; Abdolreza Siadati; Ian Suk; Ziya L Gokaslan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  2     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-02     Completed Date:  2005-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-205     Citation Subset:  IM    
Department of Neurosurgery, The University of Texas M D Anderson Cancer Center, Houston, Texas 77030, USA.
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MeSH Terms
Bone Screws
Bone Transplantation
Bone Wires
Cervical Vertebrae / pathology,  surgery*
Chordoma / diagnosis,  pathology,  surgery*
Follow-Up Studies
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Occipital Bone / pathology,  surgery
Odontoid Process / pathology,  surgery
Pharynx / pathology,  surgery
Postoperative Complications / etiology,  therapy
Spinal Fusion
Spinal Neoplasms / diagnosis,  pathology,  surgery*
Spinal Nerve Roots / pathology,  surgery
Thoracic Vertebrae / pathology,  surgery
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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