The article discusses a case of primary spinal chondrosarcoma (CS) in the lumbar spine and compares the outcomes of one-stage and two-stage surgical approaches for treating this condition. The patient, a 30-year-old male, presented with back pain and lower limb weakness. MRI revealed a tumor in the L3 vertebral body causing compression on the spinal cord and nerve roots. The two-stage surgery involved total laminectomy and transpedicular screw fixation followed by anterior corpectomy, cage implantation, and anterior lumbar interbody fusion. The patient’s symptoms improved after the surgery, and there was no recurrence at the two-year follow-up. The analysis of previous cases suggests that the two-stage approach may be more beneficial in lumbar spine multisegment disease, offering a lower recurrence rate. Overall, the article emphasizes the importance of surgical techniques in treating primary spinal chondrosarcoma
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced day surgery unit in London
Published article
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…
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
J Int Med Res. 2021 Nov;49(11):3000605211058890. doi: 10.1177/03000605211058890.ABSTRACTPrimary 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,
J Int Med Res. 2021 Nov;49(11):3000605211058890. doi: 10.1177/03000605211058890.
ABSTRACT
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.
PMID:34842480 | PMC:PMC8649472 | DOI:10.1177/03000605211058890
The London Spine Unit : most advanced day surgery unit in London
Read the original publication:
Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
