En bloc vertebrectomy and dural resection for chordoma: a case report.
METHODS
Case report.


OBJECTIVE
Report a surgical technique for dural reconstruction after vertebrectomy.


BACKGROUND
None available.


METHODS
Clinical case analysis: chordoma from T12 to L2 with infiltration of the dura.


RESULTS
Forty-six months after vertebral resection and reconstruction, the patient is disease free.


CONCLUSIONS
Wide en bloc resection is required for local control in chordoma. When the tumor permeates the dura, resection not including the dura is intralesional with high risk of local recurrence. Therefore, a proper wide resection consists in vertebrectomy removing the dura infiltrated by the tumor. The two-stage dural reconstruction had strongly limited the leakage of liquor during surgery, and the dural patch provided extra strength anteriorly, where the dural suture is more difficult.
D001416:Back Pain / Q000209:etiology; D001705:Bioprosthesis; D001863:Bone Screws; D002817:Chordoma / Q000556:secondary / Q000601:surgery*; D004388:Dura Mater / Q000473:pathology / Q000601:surgery*; D004868:Equipment Failure; D005598:Fractures, Spontaneous / Q000209:etiology; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D010496:Pericardium; D011183:Postoperative Complications / Q000209:etiology; D012074:Remission Induction; D013117:Spinal Cord Compression / Q000209:etiology; D016103:Spinal Fractures / Q000209:etiology; D013125:Spinal Neoplasms / Q000473:pathology / Q000601:surgery*; D013353:Subdural Effusion / Q000517:prevention & control; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery*