McLoughlin Gregory S, Sciubba Daniel M, Suk Ian, Bydon Ali, Witham Timothy, Wolinsky Jean-Paul, Gokaslan Ziya L
Division of Neurosurgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, Saskatchewan, Canada.
J Spinal Disord Tech. 2010 Jul;23(5):359-65. doi: 10.1097/BSD.0b013e3181aaca99.
This illustrative case report is designed to provide technical data regarding the use of a posterior approach to resect a retropharyngeal chordoma involving the craniovertebral junction.
The objective of this report is to emphasize the utility of the posterior approach when treating anterior tumors of the craniovertebral junction.
Traditionally, a transoral transpharyngeal or extended anterior approach was used to resect anterior tumors of the craniovertebral junction. These approaches have several limitations unique to these exposures, limitations not applicable to a posterior midline cervical approach.
A case report is provided that illustrates the use of a posterior cervical approach used to resect a retropharyngeal craniovertebral junction chordoma.
Gross total resection of a retropharyngeal chordoma was achieved using a posterior cervical approach. Although local tumor recurrence did occur, this was resected and adjuvant radiotherapy prescribed. This resulted in an ongoing 4-year recurrence free survival.
The posterior cervical midline exposure could be used to dissect and remove anterior retropharyngeal tumors, with minimal morbidity.
本病例报告旨在提供有关采用后路入路切除累及颅颈交界区的咽后脊索瘤的技术数据。
本报告的目的是强调后路入路在治疗颅颈交界区前部肿瘤时的实用性。
传统上，经口经咽或扩大前路入路用于切除颅颈交界区前部肿瘤。这些入路有一些这些暴露特有的局限性，这些局限性不适用于后正中颈椎入路。
提供一例病例报告，说明采用后正中颈椎入路切除咽后颅颈交界区脊索瘤。
采用后正中颈椎入路实现了咽后脊索瘤的全切除。尽管确实发生了局部肿瘤复发，但进行了切除并给予辅助放疗。这导致了持续4年的无复发生存期。
后正中颈椎暴露可用于解剖和切除咽后前部肿瘤，且发病率最低。
