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Single Stage Combined Approach Sagittal En-Block Spondylectomy for L3 Vertebral Chondrosarcoma: A Technical Note – Lumbar Spinal Stenosis

This article presents a rare case of retroperitoneal chondrosarcoma of the L3 vertebra in a 26-year-old woman who underwent sagittal en-block spondylectomy following chemoradiation. The patient had no evidence of recurrence after 3 years of follow-up, with no gait abnormality or spinal deformity. The study suggests that sagittal en-block spondylectomy is a preferred surgical approach for eccentrically placed spinal tumors, offering better oncological and functional outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced treatment facility in UK

Published article

CONCLUSION: Sagittal en-block spondylectomy is a preferred surgical approach for eccentrically placed spinal tumors which offers better oncological and functional outcomes.

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World Neurosurg. 2024 May 23:S1878-8750(24)00872-6. doi: 10.1016/j.wneu.2024.05.109. Online ahead of print. ABSTRACT BACKGROUND: Primary malignant tumors of the spine are rare which most commonly occur in lumbar and thoracic vertebra. Here, we report a rare case of retroperitoneal chondrosarcoma of the L3 vertebra which was managed with sagittal en-block spondylectomy following chemoradiation. CASE PRESENTATION: A,

World Neurosurg. 2024 May 23:S1878-8750(24)00872-6. doi: 10.1016/j.wneu.2024.05.109. Online ahead of print.

ABSTRACT

BACKGROUND: Primary malignant tumors of the spine are rare which most commonly occur in lumbar and thoracic vertebra. Here, we report a rare case of retroperitoneal chondrosarcoma of the L3 vertebra which was managed with sagittal en-block spondylectomy following chemoradiation.

CASE PRESENTATION: A 26-year-old lady was evaluated for abdominal pain with contrast enhanced computer tomogram of abdomen and pelvis which revealed a soft tissue retroperitoneal mass arising from L3 vertebra. She underwent laparotomy and biopsy which revealed chondrosarcoma and she received chemoradiation over a period of 28 weeks, 6 days. After re-imaging she underwent single stage combined approach sagittal en-block spondylectomy of retroperitoneal chondrosarcoma of L3 vertebra with right nephrectomy and spine reconstruction. She was followed for a period of 3 years, there was no evidence of recurrence in follow-up CECT abdomen and pelvis. She has no gait abnormality or spinal deformity.

CONCLUSION: Sagittal en-block spondylectomy is a preferred surgical approach for eccentrically placed spinal tumors which offers better oncological and functional outcomes.

PMID:38796151 | DOI:10.1016/j.wneu.2024.05.109

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Single Stage Combined Approach Sagittal En-Block Spondylectomy for L3 Vertebral Chondrosarcoma: A Technical Note

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World Neurosurg. 2024 May 23:S1878-8750(24)00872-6. doi: 10.1016/j.wneu.2024.05.109. Online ahead of print. ABSTRACT BACKGROUND: Primary malignant tumors of the spine are rare which most commonly occur in lumbar and thoracic vertebra. Here, we report a rare case of retroperitoneal chondrosarcoma of the L3 vertebra which was managed with sagittal en-block spondylectomy following chemoradiation. CASE PRESENTATION: A

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