Single‑stage combined anterior retropharyngeal and posterior approach for the resection and reconstruction of 
C2 metastatic tumors: A case report

Ren,Xian‑Feng; Xi,Yong‑Ming; Zhang,Guo‑Qing; Yang,Wen‑Jiu; Zhang,Xu; Yang,De‑Ling; Hu,You‑Gu

doi:10.3892/etm.2014.1493

2014-April Volume 7 Issue 4

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2014-April Volume 7 Issue 4

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Case Report

Single‑stage combined anterior retropharyngeal and posterior approach for the resection and reconstruction of C2 metastatic tumors: A case report

Authors:
- Xian‑Feng Ren
- Yong‑Ming Xi
- Guo‑Qing Zhang
- Wen‑Jiu Yang
- Xu Zhang
- De‑Ling Yang
- You‑Gu Hu
View Affiliations / Copyright

Affiliations: Department of Orthopedic Surgery, The Affiliated Hospital of Medical College, Qingdao University, Qingdao, Shandong 266003, P.R. China
Pages: 887-890
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Published online on: January 21, 2014

https://doi.org/10.3892/etm.2014.1493
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Abstract

This study reports the case of a 44‑year‑old male who had experienced severe neck pain for one month and was diagnosed with a metastatic tumor of the left C2 vertebral body and the left transverse process. The tumor was distributed to layers A‑D and sectors 3‑7 according to the Weinstein‑Boriani‑Biagini classification, and was in Category IV according to the Harrington classification system. A conventional posterior cervical approach was used to resect the left transverse process and part of the tumor in a piecemeal fashion, and spinal instrumentation was also performed. Gelfoam and absorbable hemostatic gauze were placed ventrally to the left vertebral artery and the left C3 nerve root over the tumor bed to prevent their accidental injury in the subsequent anterior approach. A high anterior retropharyngeal approach was then used to resect the tumorous C2 vertebral body by corpectomy and to perform anterior reconstruction. Six months after the surgery, the patient remained pain free. Therefore, C2 metastatic tumor resection and spinal reconstruction can be fulfilled by a single‑stage combined high anterior retropharyngeal and posterior approach.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Single‑stage combined anterior retropharyngeal and posterior approach for the resection and reconstruction of C2 metastatic tumors: A case report

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Abstract

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