Chordomas are rare tumors that arise from the sacrum, spine, and skull base. Surgical management of these tumors can be difficult, given their locally destructive behavior and predilection for growing near delicate and critical structures. En bloc resection with negative margins can be difficult to perform without damaging adjacent structures and causing significant clinical morbidity. For chordomas of the upper cervical spine, surgical options traditionally involve transoral or submandibular approaches. The authors report the use of the image-guided, endoscopic, transcervical approach to the upper cervical spine as an alternative to traditional techniques for addressing upper cervical spine tumors, particularly for tumors where gross-total resection is not feasible.
Abbreviation used in this paper: VB = vertebral body.
Address correspondence to: Wesley Hsu, M.D., Department of Neurosurgery, The Johns Hopkins University School of Medicine, Meyer Building 8-161, 600 North Wolfe Street, Baltimore, Maryland 21287. email:
WolinskyJPSciubbaDMSukIGokaslanZL: Endoscopic image-guided odontoidectomy for decompression of basilar invagination via a standard anterior cervical approach. Technical note. J Neurosurg Spine6:184–1912007
WolinskyJP, SciubbaDM, SukI, GokaslanZL: Endoscopic image-guided odontoidectomy for decompression of basilar invagination via a standard anterior cervical approach. Technical note. 6:184–191, 2007)| false