Endoscope-assisted anterolateral approach to a recurrent cervical spinal chordoma
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.
KeywordsAnterolateral approach Craniovertebral junction Chordoma Vertebral artery
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The patient/next of kin/guardian has consented to the submission of this “How I do it” to the journal.
A short video presenting the endoscope-assisted resection of a recurrent chordoma of the cervical spine through anterolateral approach is added. (AVI 142669 kb)
- 1.Bruneau M, Cornelius JF, George B (2006) Antero-lateral approach to the V3 segment of the vertebral artery. Neurosurgery 58:29–35Google Scholar
- 6.Salunke P, Karthigeyan M, Rekhapalli R, Gupta K (2019) Tailored posterior-only approach for C2 vertebral body lesions: our surgical experience in 10 patients. World Neurosurg 1878–8750Google Scholar