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

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


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 languageEnglish (US)
Pages (from-to)325-333
Number of pages9
Issue numberSUPPL. 2
StatePublished - Jun 1 2011


  • Chordoma
  • Complex reconstruction En bloc spondylectomy
  • Spine tumor

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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