Surgical treatment of thoracic vertebral chondrosarcoma with total en bloc spondylectomy: a case report.
- 1Orthopaedics and Traumatology Department, RSUP Dr. Sardjito Hospital, Sleman, D.I.Yogyakarta 55281, Indonesia.
Abstract
Spinal chondrosarcoma is a rare malignant cartilage-forming tumor that is largely resistant to chemotherapy and radiotherapy, making complete surgical resection the cornerstone of treatment. We report a 60-year-old man with recurrent thoracic chondrosarcoma involving the T4-T6 vertebrae following previous intralesional decompression, spinal stabilization, chemotherapy, and radiotherapy. Revision surgery was performed through a posterior approach with implant removal, wide tumor excision, total en bloc spondylectomy (TES), spinal reconstruction using an expandable cage, posterior instrumentation, and spinal fusion. Histopathological examination confirmed recurrent grade II conventional chondrosarcoma. The patient remained neurologically stable after surgery without major perioperative complications. The present case indicates the limitations of intralesional surgery and adjuvant therapy in conventional chondrosarcoma and supports TES as the treatment for complete tumor excision and optimal local control, despite its technical difficulty.
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BibTeX
@article{sakti2026surgical,
title = {{Surgical treatment of thoracic vertebral chondrosarcoma with total en bloc spondylectomy: a case report.}},
author = {Yudha M Sakti and Zikrina A Lanodiyu and Thomas E Prasetyo and Muhammad I Nurfadhilah and Dyah A P Sari and Muchtar Ridha and Wiwid Santiko and Abirafdi A Darutama and Vylomonicca Anggunio and Ilham A Pratama and Andika S Aji and Kadek E Calisto and Zahra N Adamina and Tedjo Rukmoyo},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag979},
url = {https://europepmc.org/article/MED/42948788},
note = {CC BY},
}
RIS
TY - JOUR
TI - Surgical treatment of thoracic vertebral chondrosarcoma with total en bloc spondylectomy: a case report.
AU - Yudha M Sakti
AU - Zikrina A Lanodiyu
AU - Thomas E Prasetyo
AU - Muhammad I Nurfadhilah
AU - Dyah A P Sari
AU - Muchtar Ridha
AU - Wiwid Santiko
AU - Abirafdi A Darutama
AU - Vylomonicca Anggunio
AU - Ilham A Pratama
AU - Andika S Aji
AU - Kadek E Calisto
AU - Zahra N Adamina
AU - Tedjo Rukmoyo
PY - 2026
DA - 2026/10/27
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag979
UR - https://europepmc.org/article/MED/42948788
AB - Spinal chondrosarcoma is a rare malignant cartilage-forming tumor that is largely resistant to chemotherapy and radiotherapy, making complete surgical resection the cornerstone of treatment. We report a 60-year-old man with recurrent thoracic chondrosarcoma involving the T4-T6 vertebrae following previous intralesional decompression, spinal stabilization, chemotherapy, and radiotherapy. Revision surgery was performed through a posterior approach with implant removal, wide tumor excision, total en bloc spondylectomy (TES), spinal reconstruction using an expandable cage, posterior instrumentation, and spinal fusion. Histopathological examination confirmed recurrent grade II conventional chondrosarcoma. The patient remained neurologically stable after surgery without major perioperative complications. The present case indicates the limitations of intralesional surgery and adjuvant therapy in conventional chondrosarcoma and supports TES as the treatment for complete tumor excision and optimal local control, despite its technical difficulty.
SN - 2042-8812
ER -