Pinter ZW, Moore EJ, Rose PS, Nassr AN, Currier BL. En bloc resection of a
high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case.
J Neurosurg Case Lessons 2022;
4:CASE22305. [PMID:
36536523 PMCID:
PMC9764371 DOI:
10.3171/case22305]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 08/12/2022] [Indexed: 12/23/2022]
Abstract
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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