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En bloc resection of a high cervical chordoma followed by reconstruction with a free vascularized fibular graft: illustrative case

Zachariah W. Pinter, Eric J. Moore, Peter S. Rose, Ahmad N. Nassr, and Bradford L. Currier

spondylectomy of C2. However, the O–C4 angle decreased from 33° preoperatively to 23° postoperatively, and the cross-sectional area of the oropharynx decreased from 361 mm 2 preoperatively to 268 mm 2 postoperatively ( Supplemental Figure 1 ). Despite our best efforts to position the patient intraoperatively to mimic his preoperative O–C2 angle, these radiographic measurements suggest that perhaps he should have been fused in a more extended position to recreate his preoperative occipitocervical alignment. Other possible etiologies for his persistent dysphagia include