En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case

BACKGROUND: Wide excision of chordoma provides better local control than intralesional resection or definitive radiotherapy. The en bloc excision of high cervical chordomas is a challenging endeavor because of the complex anatomy of this region and limited reconstructive options. OBSERVATIONS: This...

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Detalles Bibliográficos
Autores principales: Pinter, Zachariah W., Moore, Eric J., Rose, Peter S., Nassr, Ahmad N., Currier, Bradford L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Case Lesson
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764371/
https://www.ncbi.nlm.nih.gov/pubmed/36536523
http://dx.doi.org/10.3171/CASE22305
Descripción
Sumario:BACKGROUND: Wide excision of chordoma provides better local control than intralesional resection or definitive radiotherapy. The en bloc excision of high cervical chordomas is a challenging endeavor because of the complex anatomy of this region and limited reconstructive options. OBSERVATIONS: This is the first case report to describe reconstruction with a free vascularized fibular graft following the en bloc excision of a chordoma involving C1–3. LESSONS: This report demonstrates the durability of this construct at 10-year follow-up and is the first case report demonstrating satisfactory long-term oncological outcomes after a true margin-negative resection of a high cervical chordoma.

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