Three-level en bloc spondylectomy for chordoma

Michelle J. Clarke, Wesley Hsu, Ian Suk, Edward McCarthy, James H. Black, Daniel M. Sciubba, Ali Bydon, Reza Yassari, Timothy F. Witham, Ziya L. Gokaslan, Jean Paul Wolinsky

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)325-333
Number of pages9
Issue numberSUPPL. 2
StatePublished - Jun 2011
Externally publishedYes


  • Chordoma
  • Complex reconstruction En bloc spondylectomy
  • Spine tumor

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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