Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Series Volume 4 Issue 9

Sacral Chordomas; Problems in a Developing Nation with Expensive Healthcare Needs. A Case Series and Discussion of Socioeconomic Problems of Treating Long-term Malignancies in Developing Countries

Raykar R and Ganapathy S*

Department of Neurosurgery, St. Johns Medical College Hospital, Bangalore, India

*Corresponding Author: Ganapathy S, Department of Neurosurgery, St. Johns Medical College Hospital, Bangalore, India.

Received: July 01, 2021; Published: August 24, 2021

Abstract

  Chordomas of the mobile spine (C3 to L5) constitute less than 5% of the overall incidence of chordomas in the spine. They generally are osteodestrictve leading to vertebral collapse and severe deficits including paraplegia and quadriplegia. We present a case series of 3 sacral chordomas operated in a period of 1 year from 2017 to 2018 in a tertiary care center in southern India. Apart from clinical presentation and surgical clearance, we present our take on challenges faced by patients of extensive spinal malignancy to finance and care for their disease in a developing country bereft of state assistance in healthcare.

Keywords: Chordoma; Mobile Spine; Tuberculosis; Canal Stenosis; Instability; Laminectomy

References

  1. D’Haen B., et al. “Chordoma of the lower cervical spine”. Clinical Neurology and Neurosurgery 97 (1995): 245-248.
  2. Barrenechea IJ., et al. “Surgical management of chordomas of the cervical spine”. Journal of Neurosurgery Spine 6 (2007): 398-406.
  3. Noel G., et al. “Chordomas of the base of the skull and upper cervical spine. One hundred patients irradiated by a 3D conformal technique combining photon and proton beams”. Acta Oncology 44 (2005): 700-708.
  4. Casali PG., et al. “Imatinib mesylate in chordoma”. Cancer 101 (2004): 2086-2097.
  5. Russell DS and Rubinstein ii. “Secondary tumors of the nervous system”. In: Russell DS, Rubinstein U. eds. Pathology of tumors of the nervous system, 5th ed. Baltimore: Williams and Wilkins (1989): 820-821.
  6. Healey JH and Lane JM. “Chordoma: a critical review of diagnosis and treatment”. Orthopedic Clinics of North America 20 (1989): 417-426.
  7. De BruIne F and Kroon HM. “Spinal chordoma: radiologic features in 14 cases”. AJR 150 (1988): 861-863.
  8. Meyer JE., et al. “Chordomas: their cr appearance in the cervical, thoracic and lumbar spine”. Radiology 153 (1984): 693-696.

Citation

Citation: Raykar R and Ganapathy S. “Sacral Chordomas; Problems in a Developing Nation with Expensive Healthcare Needs. A Case Series and Discussion of Socioeconomic Problems of Treating Long-term Malignancies in Developing Countries". Acta Scientific Neurology 4.9 (2021): 49-53.

Copyright

Copyright: © 2021 Raykar R and Ganapathy S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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