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

School of Medicine

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

13 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

Surgery
Clinical Neurology

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10.1227/NEU.0b013e31821348c9

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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}",

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doi = "10.1227/NEU.0b013e31821348c9",

language = "English (US)",

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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

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JO - Neurosurgery

JF - Neurosurgery

IS - SUPPL. 2

ER -

Three-level en bloc spondylectomy for chordoma

Abstract

Keywords

ASJC Scopus subject areas

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