Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis

Primary spinal chondrosarcoma (CS) is rare. Only a few previous case reports have included a detailed description of the surgical process used to treat the CS. In addition, a paucity of documentation exists comparing differences in the outcomes between the approaches in en bloc resection. Here, we p...

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Autores principales:	Chih-Hisu Tu, You-Pen Chiu, Hui-Ru Ji, Cheng-Di Chiu
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f872a0e0778d4037962efe9bd2e9f093
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spelling	oai:doaj.org-article:f872a0e0778d4037962efe9bd2e9f0932021-12-02T03:04:41ZPrimary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis1473-230010.1177/03000605211058890https://doaj.org/article/f872a0e0778d4037962efe9bd2e9f0932021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058890https://doaj.org/toc/1473-2300Primary spinal chondrosarcoma (CS) is rare. Only a few previous case reports have included a detailed description of the surgical process used to treat the CS. In addition, a paucity of documentation exists comparing differences in the outcomes between the approaches in en bloc resection. Here, we present a case of CS in the lumbar (L) spine treated with two-stage (anterior and posterior approach) en bloc surgery and analyze the differences between one-stage and two-stage approaches in the treatment of primary lumbar CS. A 30-year-old male patient with an L3 vertebral body CS presented with back pain and lower limb weakness. Lumbar spine magnetic resonance imaging (MRI) showed an L3 vertebral body tumor with cord and root compression. Two-stage surgery comprising posterior total laminectomy and transpedicular screw fixation over L2–L4 in the first stage, with subsequent anterior corpectomy, cage implantation, and anterior lumbar interbody fusion was performed to achieve total tumor removal and stabilization. The patient’s symptoms improved postoperatively, with no recurrence as of the 2-year follow-up. The analysis of previous similar cases showed that two-stage surgery, compared with one-stage surgery, appears to be beneficial in lumbar spine multisegment disease, providing a lower recurrence rate.Chih-Hisu TuYou-Pen ChiuHui-Ru JiCheng-Di ChiuSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Chih-Hisu Tu You-Pen Chiu Hui-Ru Ji Cheng-Di Chiu Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
description	Primary spinal chondrosarcoma (CS) is rare. Only a few previous case reports have included a detailed description of the surgical process used to treat the CS. In addition, a paucity of documentation exists comparing differences in the outcomes between the approaches in en bloc resection. Here, we present a case of CS in the lumbar (L) spine treated with two-stage (anterior and posterior approach) en bloc surgery and analyze the differences between one-stage and two-stage approaches in the treatment of primary lumbar CS. A 30-year-old male patient with an L3 vertebral body CS presented with back pain and lower limb weakness. Lumbar spine magnetic resonance imaging (MRI) showed an L3 vertebral body tumor with cord and root compression. Two-stage surgery comprising posterior total laminectomy and transpedicular screw fixation over L2–L4 in the first stage, with subsequent anterior corpectomy, cage implantation, and anterior lumbar interbody fusion was performed to achieve total tumor removal and stabilization. The patient’s symptoms improved postoperatively, with no recurrence as of the 2-year follow-up. The analysis of previous similar cases showed that two-stage surgery, compared with one-stage surgery, appears to be beneficial in lumbar spine multisegment disease, providing a lower recurrence rate.
format	article
author	Chih-Hisu Tu You-Pen Chiu Hui-Ru Ji Cheng-Di Chiu
author_facet	Chih-Hisu Tu You-Pen Chiu Hui-Ru Ji Cheng-Di Chiu
author_sort	Chih-Hisu Tu
title	Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
title_short	Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
title_full	Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
title_fullStr	Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
title_full_unstemmed	Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
title_sort	primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/f872a0e0778d4037962efe9bd2e9f093
work_keys_str_mv	AT chihhisutu primaryosseouschondrosarcomainthelumbarspinecasereportandliteraturereviewwithanalysis AT youpenchiu primaryosseouschondrosarcomainthelumbarspinecasereportandliteraturereviewwithanalysis AT huiruji primaryosseouschondrosarcomainthelumbarspinecasereportandliteraturereviewwithanalysis AT chengdichiu primaryosseouschondrosarcomainthelumbarspinecasereportandliteraturereviewwithanalysis
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Primary osseous chondrosarcoma in the lumbar spine: case report and literature review with analysis

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