Image-guided, endoscopic, transcervical resection of cervical chordoma.
Chordomas are rare tumors that arise from the sacrum, spine, and skull base. Surgical management of these tumors can be difficult, given their locally destructive behavior and predilection for growing near delicate and critical structures. En bloc resection with negative margins can be difficult to perform without damaging adjacent structures and causing significant clinical morbidity. For chordomas of the upper cervical spine, surgical options traditionally involve transoral or submandibular approaches. The authors report the use of the image-guided, endoscopic, transcervical approach to the upper cervical spine as an alternative to traditional techniques for addressing upper cervical spine tumors, particularly for tumors where gross-total resection is not feasible.
Hsu
Wesley
W
Department of Neurosurgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA. weshsu@jhmi.edu
Kosztowski
Thomas A
TA
Zaidi
Hasan A
HA
Gokaslan
Ziya L
ZL
Wolinsky
Jean-Paul
JP
D002574:Cervical Vertebrae / Q000601:surgery*; D002817:Chordoma / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome