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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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
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author Pinter, Zachariah W.
Moore, Eric J.
Rose, Peter S.
Nassr, Ahmad N.
Currier, Bradford L.
author_facet Pinter, Zachariah W.
Moore, Eric J.
Rose, Peter S.
Nassr, Ahmad N.
Currier, Bradford L.
author_sort Pinter, Zachariah W.
collection PubMed
description 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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spelling pubmed-97643712022-12-21 En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case Pinter, Zachariah W. Moore, Eric J. Rose, Peter S. Nassr, Ahmad N. Currier, Bradford L. J Neurosurg Case Lessons Case Lesson 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. American Association of Neurological Surgeons 2022-12-19 /pmc/articles/PMC9764371/ /pubmed/36536523 http://dx.doi.org/10.3171/CASE22305 Text en © 2022 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Pinter, Zachariah W.
Moore, Eric J.
Rose, Peter S.
Nassr, Ahmad N.
Currier, Bradford L.
En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title_full En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title_fullStr En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title_full_unstemmed En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title_short En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
title_sort en bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764371/
https://www.ncbi.nlm.nih.gov/pubmed/36536523
http://dx.doi.org/10.3171/CASE22305
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