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360-surgery for a Giant Cervical Chordoma with Involvement of the Right Vertebral Artery

Abstract

Background: Chordomas are malignant tumors that arise from the remnants of the notochord. Complete radical resection with postoperative radiation therapy is currently considered the gold standard. Here, we performed a 360-staged approach to manage a C3-C4 chordoma that involved the right vertebral artery.

Case Description: A 40-year-old woman presented with a C3-C4 chordoma that invaded the right vertebral artery. She responded well to a circumferential approach including resection and stabilization.

Conclusion: A 40-year-old woman with a C3-C4 spinal chordoma was optimally managed with a combined anterior/posterior surgical approach including decompression/fusion.

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Parasagittal resection of multilevel cervical chordoma with autograft duraplasty and unilateral vertebral artery ligation: A case report and literature review.

Tavares Junior M, Morale V, Soares L, Teixeira W, Narazaki D Radiol Case Rep. 2024; 19(3):1181-1189.

PMID: 38259708 PMC: 10801135. DOI: 10.1016/j.radcr.2023.12.039.

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