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.
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.
Authors: Daniel M Sciubba; Rafael De la Garza Ramos; C Rory Goodwin; Risheng Xu; Ali Bydon; Timothy F Witham; Ziya L Gokaslan; Jean-Paul Wolinsky Journal: Eur Spine J Date: 2016-06-04 Impact factor: 3.134
Authors: David R Santiago-Dieppa; Lee S Hwang; Ali Bydon; Ziya L Gokaslan; Edward F McCarthy; Timothy F Witham Journal: Evid Based Spine Care J Date: 2014-10
Authors: Shin Won Kwon; Chun Kee Chung; Young Il Won; Woon Tak Yuh; Sung Bae Park; Seung Heon Yang; Chang Hyun Lee; John M Rhee; Kyoung-Tae Kim; Chi Heon Kim Journal: Neurospine Date: 2022-03-31