360-surgery for a giant cervical chordoma with involvement of the right vertebral artery

Abstract

Background: Chordomas are malignant tumors that arise from the remnants of the notochord. Complete en bloc radical resection with postoperative radiation therapy is currently considered the gold standard. Here, we performed a 360-staged approach to manage a C3-C4 chordoma that involved the right vertebral artery. Case Description: A 40-year-old woman presented with a C3-C4 chordoma that invaded the right vertebral artery. She responded well to a circumferential approach including resection and stabilization. Conclusion: A 40-year-old woman with a C3-C4 spinal chordoma was optimally managed with a combined anterior/posterior surgical approach including decompression/fusion.

Parasagittal resection of multilevel cervical chordoma with autograft duraplasty and unilateral vertebral artery ligation: A case report and literature review

“…(2017) [24] Case report 1 33, male C2–C4 1 En bloc -Intralesional 2 d Endovascular Yes - Molina-Martínez et al. (2021) [25] Case report 1 40, male C3–C4 3 En bloc - Wide 2 wk Open ligation No - Pinter et al. (2022) [26] Case report 1 67, male C1–C3 2 En bloc - Wide 132 mo Endovascular No Dural tear; cerebellar hemorrhage; local abscess; cerebrospinal fluid leak; …”