Saratov JOURNAL of Medical and Scientific Research

The tactics of surgical treatment in metastatic lesions of upper cervical spine.

Year: 2018, volume 14 Issue: №3 Pages: 498-501
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Bazhanov S.P., Gulyaev D.A., Ulyanov V.Yu., Ostrovskiy V.V., Tolkachev V.S.
Organization: The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences
Summary:

We demonstrated a successful case of surgical treatment of the patient with metastatic lesion of upper cervical spine with respect to multidisciplinary approach. We performed simultaneous two-stage surgical intervention, the first stage being occipitospondylodesis by multi-segment construction; and second —tumor resection from expanded combined access. It has been stated that the proposed surgical tactics allows performing curative resection in one surgical session without neurological deficit buildup in the postoperative period.

Bibliography:
1 Kushel YuV. Anatomic surgical substantiation of transmandibular retropharyngeal and transcervical retropharyngeal approaches to the base of the skull: PhD abstract. M., 1999; 163 p.
2 DeMonte F, Diaz Е, Callender D, et al. Transmandibular, circumglossal, retropharyngeal approach far chordomas of the clivus and upper cervical spine. Neurosurg focus 2001; 10 (3), Article 10: 1
3 La Corte E., Aldana PR. Endoscopic approach to the upper cervical spine and clivus: an anatomical study of the upperlimits of the transoral corridor. Acta Neurochir (Wien) 2017 Apr; 159(4) 633-9. DOI: 10.1007/S00701-017-3103- 6
4 Hutchinson IL. The hazard of mandibulotomy in an irradiated field. Oral Dis 1997; 3 (2): 64
5 Infante-Cossio P, Torres-Carranza E, Cayuela A, et al. Impact of treatment on quality of life for oral and oropharyngeal carcinoma. Int j oral maxillofac surg 2009; 38: 1052-8
6 Infante-Cossio P, Torres-Carranza E, Cayuela A. Quality of life in patients with oral and oropharyngeal cancer. Int j oral maxillofac surg 2009; 38: 250-5
7 Jalil MFA, Story RD, Rogers M. Extended maxillotomy for skull base access in contemporary management of chordomas: Rationale and technical aspect. Journal of clinical neuroscience 2017; (39): 212-5. DOI: 10.1016/j.jocn.2017.01.031
8 James D, Crockard HA. Surgical access to the base of the skull and upper cervical spine by extended maxillotomy. Neurosurgery 1999; 29: 411-6
9 Janecka IP, Sekhar L, Jones N, et al. Treatment of cancer of the skull base. In: Fee W, Goepfert H, Johns M, eds.Head neck cancer. New York: ВС Decker, 1990; p. 382-4
10 Valentini V, Cassoni A, Battisti A, Gennaro P, lannetti G. Transmandibular Approaches. In: Cranial, craniofacial and skull base surgery. New York: Springer, 2010; 319-29. DOI: 10.1007/978-88-470-1167-0_24.

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