Three-level en bloc spondylectomy for chordoma

Michelle J. Clarke; Wesley Hsu; Ian Suk; Edward McCarthy; James H. Black; Daniel M. Sciubba; Ali Bydon; Reza Yassari; Timothy F. Witham; Ziya L. Gokaslan; Jean Paul Wolinsky

doi:10.1227/NEU.0b013e31821348c9

Three-level en bloc spondylectomy for chordoma

Michelle J. Clarke, Wesley Hsu, Ian Suk, Edward McCarthy, James H. Black, Daniel M. Sciubba, Ali Bydon, Reza Yassari, Timothy F. Witham, Ziya L. Gokaslan, Jean Paul Wolinsky^*

^*Corresponding author for this work

Neurological Surgery

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Background: En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction. Objective: We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction. Methods: A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages. Results: The patient did well following the procedure, and was neurologically intact at 6-week follow-up. Conclusion: Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.

Original language	English (US)
Pages (from-to)	325-333
Number of pages	9
Journal	Neurosurgery
Volume	68
Issue number	SUPPL. 2
DOIs	https://doi.org/10.1227/NEU.0b013e31821348c9
State	Published - Jun 1 2011

Keywords

Chordoma
Complex reconstruction En bloc spondylectomy
Spine tumor

ASJC Scopus subject areas

Clinical Neurology
Surgery

Access to Document

10.1227/NEU.0b013e31821348c9

Cite this

@article{00cd846a162443d29b6c4c50902ccbed,

title = "Three-level en bloc spondylectomy for chordoma",

abstract = "Background: En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction. Objective: We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction. Methods: A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages. Results: The patient did well following the procedure, and was neurologically intact at 6-week follow-up. Conclusion: Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.",

keywords = "Chordoma, Complex reconstruction En bloc spondylectomy, Spine tumor",

author = "Clarke, {Michelle J.} and Wesley Hsu and Ian Suk and Edward McCarthy and Black, {James H.} and Sciubba, {Daniel M.} and Ali Bydon and Reza Yassari and Witham, {Timothy F.} and Gokaslan, {Ziya L.} and Wolinsky, {Jean Paul}",

year = "2011",

month = jun,

day = "1",

doi = "10.1227/NEU.0b013e31821348c9",

language = "English (US)",

volume = "68",

pages = "325--333",

journal = "Neurosurgery",

issn = "0148-396X",

publisher = "Lippincott Williams and Wilkins",

number = "SUPPL. 2",

}

TY - JOUR

T1 - Three-level en bloc spondylectomy for chordoma

AU - Clarke, Michelle J.

AU - Hsu, Wesley

AU - Suk, Ian

AU - McCarthy, Edward

AU - Black, James H.

AU - Sciubba, Daniel M.

AU - Bydon, Ali

AU - Yassari, Reza

AU - Witham, Timothy F.

AU - Gokaslan, Ziya L.

AU - Wolinsky, Jean Paul

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Background: En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction. Objective: We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction. Methods: A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages. Results: The patient did well following the procedure, and was neurologically intact at 6-week follow-up. Conclusion: Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.

AB - Background: En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction. Objective: We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction. Methods: A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages. Results: The patient did well following the procedure, and was neurologically intact at 6-week follow-up. Conclusion: Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.

KW - Chordoma

KW - Complex reconstruction En bloc spondylectomy

KW - Spine tumor

UR - http://www.scopus.com/inward/record.url?scp=79955780460&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955780460&partnerID=8YFLogxK

U2 - 10.1227/NEU.0b013e31821348c9

DO - 10.1227/NEU.0b013e31821348c9

M3 - Article

C2 - 21368699

AN - SCOPUS:79955780460

SN - 0148-396X

VL - 68

SP - 325

EP - 333

JO - Neurosurgery

JF - Neurosurgery

IS - SUPPL. 2

ER -

Three-level en bloc spondylectomy for chordoma

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this