Cervical chordoma managed with multidisciplinary surgical approach

Ahsan, Farhan; Inglis, Tom; Allison, R. S.; Inglis, G.

doi:10.1111/j.1445-2197.2010.05575.x

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…Multidisciplinary approaches and new technology are becoming increasingly common in treating mobile spine chordoma. 13,[24][25][26][27][28] These include strengthening interdisciplinary collaborations across neurosurgery, general surgery, thoracic surgery, head and neck surgery, plastic surgery, medical and radiation oncology, and rehabilitation services. This study reinforces the utility of a physical reference during multidisciplinary operations.…”

Section: Lessonsmentioning

confidence: 99%

A modern multidisciplinary approach to a large cervicothoracic chordoma using staged en bloc resection with intraoperative image-guided navigation and 3D-printed modeling: illustrative case

Pertsch

Leary

Camara-Quintana

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUNDCervicothoracic junction chordomas are uncommon primary spinal tumors optimally treated with en bloc resection. Although en bloc resection is the gold standard for treatment of mobile spinal chordoma, tumor location, size, and extent of involvement frequently complicate the achievement of negative margins. In particular, chordoma involving the thoracic region can require a challenging anterior access, and en bloc resection can lead to a highly destabilized spine.OBSERVATIONSModern technological advances make en bloc resection more technically feasible than ever before. In this case, the successful en bloc resection of a particularly complex cervicothoracic junction chordoma was facilitated by a multidisciplinary surgical approach that maximized the use of intraoperative computed tomography–guided spinal navigation and patient-specific three-dimensional–printed modeling.LESSONSThe authors review the surgical planning and specific techniques that facilitated the successful en bloc resection of this right-sided chordoma via image-guided parasagittal osteotomy across 2 stages. The integration of emerging visualization technologies into complex spinal column tumor management may help to provide optimal oncological care for patients with challenging primary tumors of the mobile spine.

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Section: Lessonsmentioning

confidence: 99%

A modern multidisciplinary approach to a large cervicothoracic chordoma using staged en bloc resection with intraoperative image-guided navigation and 3D-printed modeling: illustrative case

Pertsch

Leary

Camara-Quintana

et al. 2021

Journal of Neurosurgery: Case Lessons

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“…У пациентов с ангиопластикой отмечалось сохранение кровотока в зоне реконструкции [6]. Четверо пациентов получали лучевую терапию по поводу остаточной опухоли (3 хордомы, 1 гигантоклеточная опухоль) [50][51][52][53], у 10 имелся ее рецидив: у 2 -с остеобластомой, у 1 -с эпителиоидной гемангиоэндотелиомой (взяты на динамическое наблюдение) [20,48,54]; у 7 -с хор- домой (в трех случаях проведена лучевая терапия [9,13], в двух -повторное удаление опухоли [6,40], 2 пациента погибли на фоне прогрессирования заболевания [8]). Из пациентов с метастатическими поражениями позвоночника трое погибли без локального рецидива опухоли в зоне вмешательства [6], один с остаточной опухолью взят на динамическое наблюдение [38].…”

Section: результатыunclassified

Surgery of cervical spine tumors in the close vicinity to the vertebral artery: literature review

Glukhov

Зорин²,

Mushkin

2020

Hir. pozvonoč.

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Objective. To analyze the literature on cervical spine tumors located in the region of the vertebral artery. Material and Methods. Sixty five publications containing data on the surgical treatment of 101 patients with tumors of the cervical spine located in the area of V1-V3 vertebral artery segments were selected for the literature review. Results. The analysis of publications was performed according to the following criteria: demographic data, complaints, histological type of tumor, involvement of the vertebral artery, the performed occlusion test, final embolization or ligation of the artery during surgery, and postoperative complications. The group of patients described in selected publications consisted of 66 men and 35 women, whose average age at the time of surgery was 38.7 years. Acute development of neurological symptoms at the prehospital stage caused by vertebral artery compression was observed in two cases. The C2-C4 vertebrae were most often affected, and the malignant process was confirmed in 70.3 % of cases. In 27 cases, patients underwent an occlusion test of the involved vertebral artery. At the preoperative stage, the final embolization of the artery was performed in 9 cases, the artery was tied during the main operation and removed together with the tumor-in 25, and damaged-in 7. Neurological disorders associated with stopping blood flow through the vertebral artery were noted in two cases. In a number of cases, patients underwent vascular anastomosis with preservation of blood flow at follow-up examination. Conclusion. Taking into account the obtained data and careful preoperative planning will improve the treatment of this group of patients, increase survival, and reduce the risks of possible neurological disorders and tumor recurrence.

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“…In addition, the management of soft tissue and bone sarcoma and multidisciplinary treatment of other challenging benign 12 , 13 or malignant 14 connective tissue diseases are well orchestrated through the multidisciplinary sarcoma clinic. 12 , 13 As these diseases are so rare, there is generally no other framework for their multidisciplinary review, and the sarcoma group functions as a resource for these patients as well.…”

Section: The Need For Multidisciplinary Care In Bone and Soft Tissue mentioning

confidence: 99%

The multidisciplinary management of bone and soft tissue sarcoma: an essential organizational framework

Siegel¹,

Biermann²,

Chugh³

et al. 2015

JMDH

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The rarity of bone and soft tissue sarcoma, the difficulty in interpretation of imaging and histology, the plethora of treatment modalities, and the complexity and intensity of the treatment contribute to the need for systematic multidisciplinary team management of patients with these diseases. An integrated multidisciplinary clinic and team with a structured sarcoma tumor board facilitate team coordination and communication. This paper reviews the rationale for multidisciplinary management of sarcoma and details the operational structure of the Multidisciplinary Sarcoma Clinic and Sarcoma Tumor Board. The structured Multidisciplinary Sarcoma Tumor Board provides opportunity for improvement in logistics, teaching, quality, and enrollment in clinical trials.

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Cervical chordoma managed with multidisciplinary surgical approach

Abstract: An interdisciplinary approach should be used in the management of upper cervical chordomas to facilitate tumour resection and reduce the potential for recurrence.

Cited by 9 publications

References 24 publications

A modern multidisciplinary approach to a large cervicothoracic chordoma using staged en bloc resection with intraoperative image-guided navigation and 3D-printed modeling: illustrative case

A modern multidisciplinary approach to a large cervicothoracic chordoma using staged en bloc resection with intraoperative image-guided navigation and 3D-printed modeling: illustrative case

Surgery of cervical spine tumors in the close vicinity to the vertebral artery: literature review

The multidisciplinary management of bone and soft tissue sarcoma: an essential organizational framework

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