En bloc resection of a thoracic chordoma is possible using minimally invasive anterior access: An 8-year follow-up

• Main Authors: Anand Goomany, Jake Timothy, Craig Robson, Abhay Rao
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-01-01
• Series: Journal of Neurosciences in Rural Practice
• Subjects: chordoma; extreme lateral interbody fusion; minimally invasive; polyetheretherketone cage
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.172171

Thoracic spine chordomas are a rare clinical entity and present several diagnostic and management challenges. Posterior debulking techniques are the traditional approach for the resection of thoracic tumors involving the vertebral body. Anterior approaches to the thoracic spine enable complete tumor resection and interbody fusion. However, this approach has previously required a thoracotomy incision, which is associated with significant perioperative morbidity, pain, and the potential for compromised ventilation and subsequent respiratory sequelae. The extreme lateral approach to the anterior spine has been used to treat degenerative disorders of the lower thoracic and lumbar spine, and reduces the potential complications compared with the anterior transperitoneal/transpleural approach. However, such an approach has not been utilized in the treatment of thoracic chordomas. We describe the first case of an en bloc resection of a thoracic chordoma via a minimally invasive eXtreme lateral interbody fusion approach.