Endoscope-assisted anterolateral approach to a recurrent cervical spinal chordoma

  • L. GiammatteiEmail author
  • P. di Russo
  • N. Penet
  • S. Froelich
How I Do it - Tumor - Other
Part of the following topical collections:
  1. Tumor – Other



The anterolateral approach (ALA) enables to access the craniovertebral junction (CVJ), lower and middle clivus, jugular foramen, and cervical spine from a lateral perspective. It is particularly indicated when dealing with extradural bone tumors. Other rare indications are represented by spondylotic myeloradiculopathy and vascular diseases.


We describe here the steps to safely perform an anterolateral approach along with a brief description of its indications and limits.


ALA represents a valid option to treat cervical spine and CVJ bone tumors such as chordomas. Its knowledge can improve the process of approach selection when dealing with such complex cases.


Anterolateral approach Craniovertebral junction Chordoma Vertebral artery 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Patient consent

The patient/next of kin/guardian has consented to the submission of this “How I do it” to the journal.

Supplementary material


A short video presenting the endoscope-assisted resection of a recurrent chordoma of the cervical spine through anterolateral approach is added. (AVI 142669 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • L. Giammattei
    • 1
    • 2
    Email author
  • P. di Russo
    • 1
  • N. Penet
    • 1
    • 2
  • S. Froelich
    • 1
    • 2
  1. 1.Neurosurgical DepartmentLariboisière HospitalParisFrance
  2. 2.Université Paris DiderotParisFrance

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