Turkish Neurosurgery 2010 , Vol 20 , Num 4
Total Resection of Inferiorly Located Sacral Chordoma with Posterior Only Approach: Case Report and Review of the Literature
1,2,5Ufuk University School of Medicine, Department of Neurosurgery, Ankara, Turkey
4Mikropat, Pathology Center, Ankara, Turkey
3Ufuk University School of Medicine, Department of Pathology, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.1776-09.3 Chordoma is a primary sacral neoplasm of ectodermal origin and makes up %1- 4 of all primary bone tumors. It is usually present on the midline cerebrospinal axis and the most common locations are the spheno-clival region and the sacrum. The treatment of primary sacral tumors represents a challenge because of a large tumor mass at presentation and a hemorrhage risk in surgery. Sacral tumors may present a difficult problem to the surgeon who desires to obtain a clear margin of excision. Using the retrorectal fat tissue as a cleavage line in the posterior approach guides the neurosurgeon to resect the tumor totally and reduce the hemorrhage in sacral chordomas. In this case report, we tried to discuss the advantages of using of retrorectal fat tissue as a cleavage line in sacral chordomas under the literature. Keywords : Sacrum, Posterior approach, Retrorectal fatty tissue
Corresponding author : Hakan Sabuncuoglu, hsabuncuoglu@gmail.com