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Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Cervical chordoma managed with multidisciplinary surgical approach
Farhan Ahsan1, Tom Inglis, Robert Allison
1Department of Otolaryngology, Head & Neck Surgery, Christchurch Hospital, New Zealand.
ANZ Journal of Surgery
|April 27, 2011
Summary
Interdisciplinary management of C2/3 cervical chordoma, a rare spinal tumor, using specialized surgical techniques and custom implants, led to successful tumor resection and spinal stability.
Area of Science:
- Neurosurgery
- Orthopaedic Surgery
- Oncology
Background:
- Cervical chordomas, rare axial skeleton neoplasms, present significant surgical challenges due to complex anatomy.
- Optimal management typically involves surgical resection, demanding specialized approaches for clival and upper cervical spine access.
Observation:
- An interdisciplinary approach involving Orthopaedic and Otolaryngology Head and Neck Surgery departments was employed.
- Trotter's surgical technique facilitated tumor excision, supported by a patient-specific bio-model and custom corpectomy cage developed with a biotechnology company.
Findings:
- The surgical approach provided excellent tumor visualization.
- The custom cage and plate ensured immediate spinal stability and promoted long-term fusion, contributing to successful tumor resection.
Implications:
- An interdisciplinary strategy is crucial for managing upper cervical chordomas.
- This collaborative approach can enhance tumor resection efficacy and minimize recurrence risk.