En bloc resection of multilevel cervical chordoma with C-2 involvement. Case report and description of operative technique.

Laurence D. Rhines, Daryl R. Fourney, Abdolreza Siadati, Ian Suk, Ziya L. Gokaslan

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)199-205
Number of pages7
JournalJournal of neurosurgery. Spine
Volume2
Issue number2
DOIs
StatePublished - Feb 2005

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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