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Image guided lateral mass osteotomy for en-bloc resection of cervical Ewing's sarcoma: a technical note.
World Neurosurg. 2017 May 19;:
Authors: Li J, Phan K, Tran TM, Mobbs R, Stanford R
Abstract
BACKGROUND: En bloc resection of Ewing's sarcoma according to Enneking's principles is technically challenging in the cervical spine due to the proximity of important neurovascular structures, complex local anatomy and biomechanical instability of radical resection. The rarity of Ewing's sarcoma and variability of presentation justifies ongoing compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine.
CASE DESCRIPTION: We present a 34-year-old male with Ewing's sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomising the lateral masses using image guidance.
CONCLUSIONS: This case report describes a novel and successful approach of en bloc resection in the cervical spine, adding to the spinal surgeon's repertoire when dealing with complex cervical tumour masses.
PMID: 28532919 [PubMed - as supplied by publisher]
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