Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases

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  • 1 Department of Neurosurgery, The Johns Hopkins School of Medicine, Baltimore, Maryland; and
  • 2 Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina
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Effective en bloc resection of primary spinal tumors necessitates careful consideration of adjacent anatomical structures in order to achieve negative margins and reduce surgical morbidity. This can be particularly challenging in the cervical spine, where vital neurovascular and connective tissues are present in the region. Early multidisciplinary surgical planning that includes clinicians and engineers can both optimize surgical planning and enable a more feasible resection with oncological margins. The aim of the current work was to demonstrate two cases that involved multidisciplinary surgical planning for en bloc resection of primary cervical spine tumors, successfully utilizing 3D-printed patient models and neoadjuvant therapies.

ABBREVIATIONS SBRT = stereotactic body radiation therapy.

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Contributor Notes

Correspondence Daniel M. Sciubba: Johns Hopkins School of Medicine, Baltimore, MD. dsciubb1@jhmi.edu.

INCLUDE WHEN CITING Published online January 18, 2019; DOI: 10.3171/2018.9.SPINE18607.

Disclosures The 3D-printed models were acquired from a partnership between K2M and 3D Systems (K2M/3D Systems Partnership) and DePuy Synthes Spine.

Dr. Sciubba is a consultant for Medtronic, DePuy Synthes Spine, Stryker, NuVasive, K2M, and Baxter.

This manuscript does include off-label use of spinal instrumentation, including mesh cages in the cervical spine, and posterior cervical screws.

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