title: En bloc resection of a thoracic chordoma is possible using minimally invasive anterior access: An 8-year follow-up.
abstract: Thoracic spine chordomas are a rare clinical entity and present several diagnostic and management challenges. Posterior debulking techniques are the traditional approach for the resection of thoracic tumors involving the vertebral body. Anterior approaches to the thoracic spine enable complete tumor resection and interbody fusion. However, this approach has previously required a thoracotomy incision, which is associated with significant perioperative morbidity, pain, and the potential for compromised ventilation and subsequent respiratory sequelae. The extreme lateral approach to the anterior spine has been used to treat degenerative disorders of the lower thoracic and lumbar spine, and reduces the potential complications compared with the anterior transperitoneal/transpleural approach. However, such an approach has not been utilized in the treatment of thoracic chordomas. We describe the first case of an en bloc resection of a thoracic chordoma via a minimally invasive eXtreme lateral interbody fusion approach.
authors.affiliation: Department of Neurosurgery, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.
authors.forename: Anand
authors.initials: A
authors.lastname: Goomany
authors.affiliation: Department of Neurosurgery, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.
authors.forename: Jake
authors.initials: J
authors.lastname: Timothy
authors.affiliation: Department of Neurosurgery, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.
authors.forename: Craig
authors.initials: C
authors.lastname: Robson
authors.affiliation: Department of Spinal Surgery, Leeds Teaching Hospitals, NHS Trust, Leeds, UK.
authors.forename: Abhay
authors.initials: A
authors.lastname: Rao
keywords: Chordoma; eXtreme lateral interbody fusion; minimally invasive; polyetheretherketone cage