Journal of Spine

Rex AW Marco

Publications

• Research Article
  En Bloc Resection of Cervical Sarcoma Involving C1: Report of Two Cases and Surgical Considerations
  Author(s): Deshdeepak Sahni, Akaanksh Shetty, Jeffrey T Vrabec, Donald T. Donovan and Rex AW MarcoDeshdeepak Sahni, Akaanksh Shetty, Jeffrey T Vrabec, Donald T. Donovan and Rex AW Marco
  
  Study background: A two patient case series describing the surgical management of upper cervical sarcoma. Due to the density of critical neurovascular structures in the upper cervical spine, these rare sarcomas require primary surgical treatment that preempts local recurrence. Recurrence secondary to tumor spillage is problematic due to scar tissue formation and radiation effect creating surgically inaccessible tissue planes. En bloc resection of sarcomas during an index procedure provides the best chance at cure and prevention of local recurrence. Meticulous planning, familiarity with anatomy and surgical technique is critical for the success of these operations. \r\nMethods: Two patients: a 30-year-old and 36-year-old female, were referred to our institution with malignant spine tumors involving C1. The first was found to have a left sided synovial sarcoma anterolateral to C1.. Read More»
  

  Abstract PDF