Journal of Korean Neurosurgical Society
- 제29권4호
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- Pages.574-579
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
전방 접근법으로 제거한 제2흉추 척삭종 - 증 례 보 고 -
Surgical Treatment of a Chordoma Arising from the Second Thoracic Vertebral Body through the Modified Anterior Approach - Case Report -
- 이종원 (중앙대학교 의과대학 신경외과학교실) ;
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김영백
(중앙대학교 의과대학 신경외과학교실) ;
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박승원
(중앙대학교 의과대학 신경외과학교실) ;
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황성남
(중앙대학교 의과대학 신경외과학교실) ;
- 최덕영 (중앙대학교 의과대학 신경외과학교실)
- Lee, Jong-Won (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
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Kim, Young-Baeg
(Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
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Park, Seung-Won
(Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
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Hwang, Sung-Nam
(Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
- Choi, Duck-Young (Department of Neurosurgery, College of Medicine, Chung-Ang University)
- 투고 : 1999.08.11
- 심사 : 1999.09.20
- 발행 : 2000.04.28
초록
Chordomas are rare central nervous system tumors that are found predominantly in the sacrococcygeal(50%) and basiosphenoidal region(35%). Most of the remainder are related to the vertebral bodies and only 1 to 2% of them are known to occur in the thoracic vertebrae. A 15-year-old girl was admitted because of paraparesis. Three months prior to admission, she underwent a lumbar laminectomy at other hospital for the treatment of herniated lumbar disc but paraparesis became rather aggravated after the operation. At admission, MRI showed a low signal T1WI, high signal T2WI mass compressing the cord at T2 vertebral body. The tumor was subtotally removed via costotransversectomy but as the tumor was proven to be a chordoma, a second stage operation via anterior route was followed. At second operation, T2 corpectomy and T1-T3 plate fixation with autogeneous ileac bone graft was performed. Shortly after the operation, preoperative paraparesis disappeared completely and no evidence of tumor recurrence was noticed both clinically and radiologically for next 2 years. Spine surgery at cervicothoracic junction may be technically demanding due to anatomical complexity and hindering large vessels. The authers reviewed this case with special emphasis on the surgical procedure in this region.