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International Journal of Neurology and Neurosurgery

Volume  10, Issue 1, January - March 2018, Pages 53-58
 

Case Report

Total En Bloc Spondylectomy of T11 Osteosarcoma with Dural Resection: Case Report and Literature Review

Mohammed S. Basamh1, Abdulrahman Y. Alturki2, Robert E. Turcotte3, Ayoub Nahal4, Judith Marcoux5, Peter F. Jarzem6

1Resident, Division of Neurosurgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia. 2Neurosurgery fellow, Harvard medical school, Boston, USA & National Institute of Neuroscience, King Fahad Medical City, Riyadh, Saudi Arabia. 3Professor of Surgery, Chairman of Surgical Oncology, Division of Orthopaedic Surgery, Associate member, Oncology department, McGill University Health Center- Montreal General Hospital, Montreal, Quebec, Canada. 4Assistant Professor, Department of Pathology, 6As

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10118.7

Abstract

Wide margin en bloc resection is becoming the trend for the treatment of primary spinal tumors. However, only few cases in the literature describeen bloc tumor resection including dural resection. We here describe a case of wide en bloc resection of a spinal osteosarcoma using spondylectomyanddural flap resection, followed by duraplasty repair. This was followed by adjuvant chemotherapy. At forty-two-monthsof followup, the patient was stable neurologically and free of disease radiologically. The clinical presentation, operative technique and related literature are reviewed.

Keywords: En Bloc; Spondylectomy; Dural Resection; Duraplasty.


Corresponding Author : Peter Jarzem, Assistant Professor, Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.