[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.17.36. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 1940

SURGICAL MANAGEMENT OF SACROCOCCYGEAL AND VERTEBRAL CHORDOMA

Author Affiliations

BOSTON
From the Surgical Service of the Beth Israel Hospital and the Neurosurgical Service of the Massachusetts General Hospital.

Arch Surg. 1940;41(2):408-421. doi:10.1001/archsurg.1940.01210020206021
Abstract

Chordoma is so rarely encountered that individual experience is limited, and no clearcut plan of surgical attack on the tumor as it may develop in the different levels of the cerebrospinal axis has been established. A survey of cases reported in the literature reveals a variety of methods of treatment employed, but the results have been far from satisfactory. Sacrococcygeal and vertebral lesions only will be considered in this paper. A procedure will be presented that may permit a more thorough extirpation of lesions in the sacral region; the value of spinal fusion as an adjunct to laminectomy in dealing with vertebral tumors will be discussed, and 3 illustrative cases, heretofore unreported, will be added to the literature.

Chordoma is a tumor arising from the remnant of the notochord. It may occur anywhere in the cerebrospinal axis, from the sphenoid bone to the coccyx. In the order of frequency it

First Page Preview View Large
First page PDF preview
First page PDF preview
×