Operative technique for en bloc resection of upper cervical chordomas: extended transoral transmandibular approach and multilevel reconstruction.

Détails

ID Serval
serval:BIB_3DD6D17E7C35
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Operative technique for en bloc resection of upper cervical chordomas: extended transoral transmandibular approach and multilevel reconstruction.
Périodique
Asian spine journal
Auteur⸱e⸱s
Ortega-Porcayo L.A., Cabrera-Aldana E.E., Arriada-Mendicoa N., Gómez-Amador J.L., Granados-García M., Barges-Coll J.
ISSN
1976-1902 (Print)
ISSN-L
1976-1902
Statut éditorial
Publié
Date de publication
12/2014
Peer-reviewed
Oui
Volume
8
Numéro
6
Pages
820-826
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Anterior exposure for cervical chordomas remains challenging because of the anatomical complexities and the restoration of the dimensional balance of the atlanto-axial region. In this report, we describe and analyze the transmandibular transoral approach and multilevel spinal reconstruction for upper cervical chordomas. We report two cases of cervical chordomas (C2 and C2-C4) that were treated by marginal en bloc resection with a transmandibular approach and anterior-posterior multilevel spinal reconstruction/fixation. Both patients showed clinical improvement. Postoperative imaging was negative for any residual tumor and revealed adequate reconstruction and stabilization. Marginal resection requires more extensive exposure to allow the surgeon access to the entire pathology, as an inadequate tumor margin is the main factor that negatively affects the prognosis. Anterior and posterior reconstruction provides a rigid reconstruction that protects the medulla and decreases axial pain by properly stabilizing the cervical spine.
Mots-clé
Chordoma, Neurosurgical instrumentation, Spinal neoplasms, Transmandibular approach
Pubmed
Open Access
Oui
Création de la notice
10/09/2019 16:42
Dernière modification de la notice
11/09/2019 5:26
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