Skip Navigation LinksHome > June 2011 - Volume 68 - Issue > Three-Level En Bloc Spondylectomy for Chordoma
doi: 10.1227/NEU.0b013e31821348c9
Operative Technique

Three-Level En Bloc Spondylectomy for Chordoma

Clarke, Michelle J MD*; Hsu, Wesley MD‡; Suk, Ian BSc, MBC‡; McCarthy, Edward MD§; Black, James H III MD; Sciubba, Daniel M MD‡; Bydon, Ali MD‡; Yassari, Reza MD‡; Witham, Timothy F MD‡; Gokaslan, Ziya L MD‡; Wolinsky, Jean-Paul MD‡

CNS University of Neurosurgery
Collapse Box


BACKGROUND: En bloc resection of spinal and sacral chordomas may convey a survival benefit. However, these procedures often are complex and require the surgeon to plan a procedure that results in negative tumor margins, protects vital neurovascular structures, and concludes with a viable biomechanical reconstruction.

OBJECTIVE: We present a case of a 3-level en bloc lumbar spondylectomy and reconstruction.

METHODS: A case of a 45-year-old woman with biopsy-proven exophytic L4 chordoma is presented. The patient underwent successful L3-L5 en bloc spondylectomy and reconstruction over 3 stages.

RESULTS: The patient did well following the procedure, and was neurologically intact at 6-week follow-up.

CONCLUSION: Three-level en bloc spondylectomy with lumbopelvic reconstruction is a challenging yet feasible procedure.

Copyright © by the Congress of Neurological Surgeons


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.