scholarly journals Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis

2021 ◽  
Vol 49 (11) ◽  
pp. 030006052110588
Author(s):  
Chih-Hisu Tu ◽  
You-Pen Chiu ◽  
Hui-Ru Ji ◽  
Cheng-Di Chiu
Keyword(s):  
Lumbar Spine ◽  
Vertebral Body ◽  
Case Reports ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Two Stage ◽  
En Bloc ◽  
Limb Weakness ◽  
One Stage ◽  
Anterior Corpectomy

Primary spinal chondrosarcoma (CS) is rare. Only a few previous case reports have included a detailed description of the surgical process used to treat the CS. In addition, a paucity of documentation exists comparing differences in the outcomes between the approaches in en bloc resection. Here, we present a case of CS in the lumbar (L) spine treated with two-stage (anterior and posterior approach) en bloc surgery and analyze the differences between one-stage and two-stage approaches in the treatment of primary lumbar CS. A 30-year-old male patient with an L3 vertebral body CS presented with back pain and lower limb weakness. Lumbar spine magnetic resonance imaging (MRI) showed an L3 vertebral body tumor with cord and root compression. Two-stage surgery comprising posterior total laminectomy and transpedicular screw fixation over L2–L4 in the first stage, with subsequent anterior corpectomy, cage implantation, and anterior lumbar interbody fusion was performed to achieve total tumor removal and stabilization. The patient’s symptoms improved postoperatively, with no recurrence as of the 2-year follow-up. The analysis of previous similar cases showed that two-stage surgery, compared with one-stage surgery, appears to be beneficial in lumbar spine multisegment disease, providing a lower recurrence rate.

scholarly journals Primary Osseous Chondrosarcoma in the Lumbar Spine: Case Report and Literature Review With Analysis

2021 ◽  
Author(s):  
Chih-Hisu Tu ◽  
You-Pen Chiu ◽  
Hui-Ru Ji ◽  
Cheng-Di Chiu
Keyword(s):  
Lumbar Spine ◽  
Vertebral Body ◽  
Low Grade ◽  
Two Stage ◽  
En Bloc ◽  
Limb Weakness ◽  
Current Case ◽  
One Stage ◽  
Operative Outcomes ◽  
Anterior Corpectomy

Abstract Background Primary spinal chondrosarcoma (CS) is relatively rare, with a reported prevalence rate of less than 10% of all CS. En bloc surgery and resection without entering the tumor capsule typically provides a better prognosis. However, the approaches to such tumor lesions vary. Here, we present a case of CS in the lumbar spine treated with two-stage (anterior and posterior approach) en bloc surgery, along with an analysis and comparison of the characteristics and prognosis of one-stage versus two-stage surgery patients in previous studies. Case description A 30-year-old male with an L3 vertebral body CS presented with back pain and lower limb weakness. Lumbar spine MRI showed an L3 vertebral body tumor with cord and root compression. A two-stage surgery including posterior total laminectomy, transpedicular screw fixation over L2-L4 first with subsequent anterior corpectomy, cage implantation, and anterior lumbar interbody fusion was performed to achieve total tumor removal and stabilization. Pathology revealed a low grade CS with free resection margin. The patient’s symptoms improved after the operation, and no recurrence had occurred as of the two-year follow-up. Furthermore, we also analyzed the post-operative outcomes of 24 cases from previous publications and our current case. Conclusions Two-stage en bloc surgery concomitantly achieves total resection of the tumor, the preservation of neurological function, and a gain in stabilization. The analysis of cases showed that two-stage surgery, in comparison with one-stage surgery, seems to be beneficial in treating L-spine multiple segment disease, providing a lower rate of recurrence.

En Bloc Resection of Vertebral Tumors of Thoracic and Lumbar Spine

2018 ◽  
Vol 40 (9) ◽  
pp. 1-8 ◽  
Author(s):  
Carlos Zamorano ◽  
Miguel Abdo ◽  
Javier Kelly ◽  
Gerardo Guinto ◽  
Alexis Del Real
Keyword(s):  
Lumbar Spine ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Thoracic And Lumbar Spine

Total en bloc lumbar spondylectomy

2001 ◽  
Vol 95 (2) ◽  
pp. 264-269 ◽  
Author(s):  
Eric Marmor ◽  
Laurence D. Rhines ◽  
Jeffrey S. Weinberg ◽  
Ziya L. Gokaslan
Keyword(s):  
Lumbar Spine ◽  
Posterior Approach ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Neurological Injury ◽  
En Bloc ◽  
Total En Bloc Spondylectomy ◽  
Content Type ◽  
Bloc Spondylectomy ◽  
Anterior Posterior

✓ The authors describe a technique for total en bloc spondylectomy that can be used for lesions involving the lumbar spine. The technique involves a combined anterior—posterior approach and takes into account the unique anatomy of the lumbar spine. This technique allows for the en bloc resection of lumbar vertebral tumors, thus optimizing outcome while minimizing the risk of neurological injury. The technique is described in detail with the aid of neuroimaging studies, photographs of gross pathological specimens, and illustrations, and a discussion of other authors' experiences is provided for comparison.

Parasagittal osteotomy for en bloc resection of multilevel cervical chordomas

2009 ◽  
Vol 10 (5) ◽  
pp. 397-403 ◽  
Author(s):  
Dean Chou ◽  
Frank Acosta ◽  
Jordan M. Cloyd ◽  
Christopher P. Ames
Keyword(s):  
Case Reports ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Tumor Removal ◽  
Nerve Roots ◽  
En Bloc ◽  
Term Survival ◽  
Cervical Chordoma ◽  
Disease Free

En bloc resection of chordoma has been shown to be critical for prolonging long-term survival and disease-free intervals in patients. Cervical spine chordomas pose special challenges because of the vertebral arteries and critical nerve roots involved. Multilevel chordomas pose even greater challenges because of the need to remove multiple segments of the spine in 1 piece without tumor violation. Although there have been 2 case reports describing multilevel spondylectomy for cervical chordoma, to the authors' knowledge, there are no reports of parasagittal osteotomies for en bloc resection of multilevel cervical chordomas. The use of these osteotomies allows us to avoid intralesional resection and adhere to the oncological principle of en bloc tumor excision. The authors report their management of 3 multilevel cervical chordomas and describe their technique of en bloc tumor removal using parasagittal osteotomy.

scholarly journals Sagittal en bloc resection of primary tumors in the thoracic and lumbar spine: feasibility, safety and outcome

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Lei Dang ◽  
Zhongjun Liu ◽  
Xiaoguang Liu ◽  
Liang Jiang ◽  
Miao Yu ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Primary Tumors ◽  
Thoracic And Lumbar Spine

Lumbopelvic Reconstruction After Combined L5 Spondylectomy and Total Sacrectomy for En Bloc Resection of a Malignant Fibrous Histiocytoma

Neurosurgery ◽  
2010 ◽  
Vol 67 (2) ◽  
pp. E498-E502 ◽  
Author(s):  
Gary L. Gallia ◽  
Ian Suk ◽  
Timothy F. Witham ◽  
Susan L. Gearhart ◽  
James H. Black ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Myocutaneous Flap ◽  
Treatment Options ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Reconstruction Technique ◽  
Intractable Pain ◽  
En Bloc ◽  
Total Sacrectomy ◽  
Vertebral Segment

Abstract BACKGROUND Primary sacral neoplasms that extend superiorly to involve the distal lumbar spine represent complex surgical problems. Treatment options for these patients are often limited to hemicorporectomy. OBJECTIVE To detail our surgical technique for en bloc resection of a sarcoma involving the L5 vertebral segment and sacrum and the reconstruction of the lumbopelvic junction. METHODS A 52-year-old woman presented with intractable pain secondary to a sarcoma involving the L5 vertebral segment and sacrum. She underwent a combined L5 spondylectomy and total sacrectomy for en bloc resection of her neoplasm. A novel lumbopelvic reconstruction technique was used to establish a liaison between the lumbar spine and pelvis. RESULTS Operative complications included a venous vascular injury and a nonviable myocutaneous flap. Postoperatively, the patient had complete resolution of her pain. Unfortunately, the patient developed metastatic disease and died 5 months after her initial surgical procedure. CONCLUSION We describe a patient who underwent a combined L5 spondylectomy and total sacrectomy for en bloc resection of a lumbosacral sarcoma. Additionally, we report a novel technique to reconstruct the lumbopelvic junction. The operative procedures are detailed with the aid of radiographs, intraoperative photographs, and illustrations.

Arthroscopic Removal of a Subperiosteal Osteoid Osteoma of the Talus

2007 ◽  
Vol 97 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Taner Gunes ◽  
Mehmet Erdem ◽  
Cengiz Sen ◽  
Erkal Bilen ◽  
Kursad Yeniel
Keyword(s):  
Osteoid Osteoma ◽  
Case Reports ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Ablation Techniques ◽  
Percutaneous Ablation ◽  
Pathologic Examination ◽  
En Bloc ◽  
Pathologic Evaluation ◽  
Arthroscopic Removal

We report a case of a subperiosteal osteoid osteoma on the talar neck that was removed arthroscopically. Intralesional excision, en bloc resection, and percutaneous ablation techniques have all been used for the treatment of osteoid osteoma. For intra-articular osteoid osteomas, arthroscopy-assisted removal of the tumor has been described in a few case reports. Obtaining a nidus fragment for pathologic evaluation is important during arthroscopic removal of intra-articular osteoid osteomas. Sometimes it is not possible to obtain a specimen for pathologic examination. In the present case, the osteoid osteoma on the talar neck was easily located, the nidus was completely removed, and the tumor was extirpated. (J Am Podiatr Med Assoc 97(3): 238–243, 2007)

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