Surgical management of chordomas and chondrosarcomas of the lumbar spine

Rafael De la Garza-Ramos*, Mohamad Bydon, Ian Suk, Jean-Paul Wolinsky, Ziya L. Gokaslan

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Chordomas and chondrosarcomas are rare primary malignant spine tumors. In spite of recent advancements in chemotherapy, targeted therapy, and radiation therapy, surgery remains the gold standard for treatment of these lesions. Specifically, en bloc resection with wide tumor-free margins has better outcomes in terms of duration of disease-free and overall survival than does intralesional resection. Nonetheless, en bloc resections in the spine are technically demanding and highly morbid procedures, particularly in the lumbar spine because of the proximity of the lumbar plexus, great vessels, iliopsoas muscle, bowel, and others. This chapter reviews the operative management of lumbar chordomas and chondrosarcomas, emphasizing the surgical technique to achieve an en bloc resection via spondylectomy.

Original languageEnglish (US)
Title of host publicationChordomas and Chondrosarcomas of the Skull Base and Spine
PublisherElsevier Inc
Pages309-313
Number of pages5
ISBN (Electronic)9780128043332
ISBN (Print)9780128042571
DOIs
StatePublished - Jan 1 2018

Keywords

  • Chondrosarcoma
  • Chordoma
  • Complications
  • En bloc
  • Lumbar spine
  • Spondylectomy

ASJC Scopus subject areas

  • Medicine(all)
  • Neuroscience(all)

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  • Cite this

    De la Garza-Ramos, R., Bydon, M., Suk, I., Wolinsky, J-P., & Gokaslan, Z. L. (2018). Surgical management of chordomas and chondrosarcomas of the lumbar spine. In Chordomas and Chondrosarcomas of the Skull Base and Spine (pp. 309-313). Elsevier Inc. https://doi.org/10.1016/B978-0-12-804257-1.00027-X