Image-Guided Lateral Mass Osteotomy for En Bloc Resection of Cervical Ewing Sarcoma: A Technical Note

En bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and...

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Published inWorld neurosurgery Vol. 104; pp. 628 - 633
Main Authors Li, Jia Xi Julian, Phan, Kevin, Tran, Tommy Manh, Mobbs, Ralph J., Stanford, Ralph
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2017
Subjects
Adult
Cervical arthrodesis
Cervical spine
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
En bloc resection
Ewing sarcoma
Humans
Magnetic Resonance Imaging
Male
Osteotomy - methods
Positron-Emission Tomography
Sarcoma, Ewing - diagnostic imaging
Sarcoma, Ewing - surgery
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - surgery
Spinal surgery
Surgery, Computer-Assisted - methods
Treatment Outcome
En bloc resection
Ewing sarcoma
Cervical arthrodesis
WBB
ACDF
Spinal surgery
Cervical spine
PET
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Abstract En bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine. We present a 34-year-old male with Ewing sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomizing the lateral masses under imaging guidance. This novel and successful approach of en bloc resection in the cervical spine can add to the spinal surgeon's repertoire when dealing with complex cervical tumor masses.
AbstractList En bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine. We present a 34-year-old male with Ewing sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomizing the lateral masses under imaging guidance. This novel and successful approach of en bloc resection in the cervical spine can add to the spinal surgeon's repertoire when dealing with complex cervical tumor masses.
BACKGROUNDEn bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine.CASE DESCRIPTIONWe present a 34-year-old male with Ewing sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomizing the lateral masses under imaging guidance.CONCLUSIONSThis novel and successful approach of en bloc resection in the cervical spine can add to the spinal surgeon's repertoire when dealing with complex cervical tumor masses.
Author Phan, Kevin
Tran, Tommy Manh
Stanford, Ralph
Li, Jia Xi Julian
Mobbs, Ralph J.
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crossref_primary_10_1016_j_wneu_2018_09_022
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Keywords En bloc resection
Ewing sarcoma
Cervical arthrodesis
WBB
ACDF
Spinal surgery
Cervical spine
PET
Language English
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Snippet En bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of important...
BACKGROUNDEn bloc resection of Ewing sarcoma in the cervical spine according to Enneking's principles is technically challenging owing to the proximity of...
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SubjectTerms Adult
Cervical arthrodesis
Cervical spine
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
En bloc resection
Ewing sarcoma
Humans
Magnetic Resonance Imaging
Male
Osteotomy - methods
Positron-Emission Tomography
Sarcoma, Ewing - diagnostic imaging
Sarcoma, Ewing - surgery
Spinal Neoplasms - diagnostic imaging
Spinal Neoplasms - surgery
Spinal surgery
Surgery, Computer-Assisted - methods
Treatment Outcome
Title Image-Guided Lateral Mass Osteotomy for En Bloc Resection of Cervical Ewing Sarcoma: A Technical Note
URI https://dx.doi.org/10.1016/j.wneu.2017.05.071
https://www.ncbi.nlm.nih.gov/pubmed/28532919
https://search.proquest.com/docview/1901752733
Volume 104
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