Ali Bydon

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Resection of a retropharyngeal craniovertebral junction chordoma through a posterior cervical approach.

Gregory S McLoughlin; Daniel M Sciubba; Ian Suk; Ali Bydon; Timothy Witham; Jean-Paul Wolinsky; Ziya L Gokaslan (Profiled Authors: Timothy Witham; Ziya Gokaslan; Ian Suk; Gregory Mcloughlin; Daniel Sciubba; Ali Bydon; Jean-Paul Wolinsky)

Division of Neurosurgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, Saskatchewan, Canada. greg.mcloughlin@shaw.ca
Journal of spinal disorders & techniques 2010;23(5):359-65.

STUDY DESIGN: This illustrative case report is designed to provide technical data regarding the use of a posterior approach to resect a retropharyngeal chordoma involving the craniovertebral junction. OBJECTIVE: The objective of this report is to emphasize the utility of the posterior approach when treating anterior tumors of the craniovertebral junction. SUMMARY OF BACKGROUND DATA: Traditionally, a transoral transpharyngeal or extended anterior approach was used to resect anterior tumors of the craniovertebral junction. These approaches have several limitations unique to these exposures, limitations not applicable to a posterior midline cervical approach. METHODS: A case report is provided that illustrates the use of a posterior cervical approach used to resect a retropharyngeal craniovertebral junction chordoma. RESULTS: Gross total resection of a retropharyngeal chordoma was achieved using a posterior cervical approach. Although local tumor recurrence did occur, this was resected and adjuvant radiotherapy prescribed. This resulted in an ongoing 4-year recurrence free survival. CONCLUSIONS: The posterior cervical midline exposure could be used to dissect and remove anterior retropharyngeal tumors, with minimal morbidity.

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