En bloc resection of a multilevel high-cervical chordoma involving C-2: new operative modalities: technical note
| Autor: | Kern H. Guppy, Richard S Isaacs, Indro Chakrabarti, Jae H Jun |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Vertebral artery Ultrasonic aspirator medicine.artery Monitoring Intraoperative medicine Chordoma Humans Orthopedic Procedures Vertebral Artery Modalities Spinal Neoplasms business.industry Endovascular Procedures En bloc resection Technical note General Medicine Prostheses and Implants Middle Aged medicine.disease Cervical spine Surgery Pseudarthrosis Treatment Outcome Surgery Computer-Assisted Cervical Vertebrae Female Radiology business |
| Zdroj: | Journal of neurosurgery. Spine. 19(2) |
| ISSN: | 1547-5646 |
| Popis: | En bloc resection of cervical chordomas has led to longer survival rates but has resulted in significant morbidities from the procedure, especially when the tumor is multilevel and located in the high-cervical (C1–3) region. To date, there have been only 5 reported cases of multilevel en bloc resection of chordomas in the high-cervical spine. In this technical report the authors describe a sixth case. A complete spondylectomy was performed at C-2 and C-3 with spinal reconstruction and stabilization, using several new modalities that were not used in the previous cases. The use of 1) preoperative endovascular sacrificing of the vertebral artery, 2) CT image-guidance, 3) an ultrasonic aspirator for skeletonizing the vertebral artery, and 4) the custom design of an anterior cage all contributed to absence of intraoperative or long-term (20 months) hardware failure and pseudarthrosis. |
| Databáze: | OpenAIRE |
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