Total resection of inferiorly located sacral chordoma with posterior only approach: case report and review of the literature
| Autor: | Hakan Sabuncuoğlu, E Timurkaynak, Handan Dogan, Omur Ataoglu, Selcuk Ozdogan |
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| Rok vydání: | 2009 |
| Předmět: |
Male
musculoskeletal diseases Sacrum medicine.medical_specialty Neurosurgical Procedures Posterior approach Chordoma medicine Humans Spinal Neoplasms medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged musculoskeletal system medicine.disease Magnetic Resonance Imaging body regions Primary bone Surgery Neurology (clinical) Radiology Neurosurgery Presentation (obstetrics) business Sacral Chordoma |
| Zdroj: | Turkish Neurosurgery. |
| ISSN: | 1019-5149 |
| DOI: | 10.5137/1019-5149.jtn.1776-09.3 |
| Popis: | Chordoma is a primary sacral neoplasm of ectodermal origin and makes up %1- 4 of all primary bone tumors. It is usually present on the midline cerebrospinal axis and the most common locations are the spheno-clival region and the sacrum. The treatment of primary sacral tumors represents a challenge because of a large tumor mass at presentation and a hemorrhage risk in surgery. Sacral tumors may present a difficult problem to the surgeon who desires to obtain a clear margin of excision. Using the retrorectal fat tissue as a cleavage line in the posterior approach guides the neurosurgeon to resect the tumor totally and reduce the hemorrhage in sacral chordomas. In this case report, we tried to discuss the advantages of using of retrorectal fat tissue as a cleavage line in sacral chordomas under the literature. |
| Databáze: | OpenAIRE |
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