Related Experiment Videos
Triple total cervical vertebrectomy for a giant cell tumor: case report
Olivier Gille1, Christian Soderlund, Jérome Berge
1Department of Orthopaedic Surgery, University Hospital of Bordeaux, Bordeaux, France. olivier.gille@chu-bordeaux.fr
Spine
|May 18, 2005
Summary
This case report details a novel surgical approach for managing cervical tumors. Complete cervical vertebrectomy was successfully performed by sequentially occluding vertebral arteries, achieving a tumor-free outcome.
Area of Science:
- Neurosurgery
- Oncology
- Surgical Technique
Background:
- Complete vertebrectomy is established for thoracic/lumbar spine tumors.
- Vertebral arteries historically limited cervical spine complete vertebrectomy.
Observation:
- A patient with recurrent giant cell tumor in C6 underwent staged triple total cervical vertebrectomy (C5-C7).
- Preoperative embolization of the ipsilateral vertebral artery and temporary balloon occlusion of the contralateral vertebral artery demonstrated sufficient collateral circulation.
Findings:
- The described surgical technique allowed for complete resection of the cervical tumor and involved vertebrae.
- The patient remained tumor-free at a 2-year follow-up.
Implications:
- This approach enables complete resection of malignant cervical vertebrae, previously limited by vertebral artery presence.
- Successful management of complex cervical tumors may be enhanced by this technique.