{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:28:37Z","timestamp":1787754517934,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82172395"],"award-info":[{"award-number":["82172395"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 54-year-old man presented with a giant T10-L2 chordoma. The tumor encased the thoracoabdominal aorta, presenting a significant challenge for en bloc resection. We used a novel anterior transperitoneal and transdiaphragmatic approach. By longitudinally incising the diaphragm along the aortic hiatus, we obtained direct visualization to safely dissect the aorta from the tumor in both thoracic and abdominal cavities. This facilitated a successful 2-stage en bloc spondylectomy and reconstruction with a three-dimensional\u2013printed vertebral body. At 24 months, the patient was neurologically intact with no recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This approach offers a safe strategy for large thoracolumbar tumors involving critical vasculature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00014","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:00:28Z","timestamp":1777658428000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["An Anterior Transdiaphragmatic Approach for En Bloc Resection of a Giant Thoracolumbar Chordoma"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0371-9216","authenticated-orcid":false,"given":"Yanchao","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Spinal Disease Research and Engineering, Beijing, China"},{"name":"Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9464-7900","authenticated-orcid":false,"given":"Shouzhan","family":"Wang","sequence":"additional","affiliation":[{"name":"Health Science Center, Peking University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5309-2262","authenticated-orcid":false,"family":"Changming Wang","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5525-8016","authenticated-orcid":false,"given":"Lei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1813-8799","authenticated-orcid":false,"given":"Shaomin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pathology, Peking University Health Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-0361","authenticated-orcid":false,"given":"Feng","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Spinal Disease Research and Engineering, Beijing, China"},{"name":"Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"4","key":"bib1-20260505","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/01.brs.0000200038.30869.27","article-title":"Chordoma of the mobile spine: fifty years of experience","volume":"31","author":"Boriani","year":"2006","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3S","key":"bib2-20260505","doi-asserted-by":"crossref","first-page":"S124","DOI":"10.1093\/neuros\/nyw064","article-title":"Spine oncology\u2014primary spine tumors","volume":"80","author":"Dea","year":"2017","journal-title":"Neurosurgery."},{"issue":"4","key":"bib3-20260505","doi-asserted-by":"crossref","first-page":"E466","DOI":"10.1097\/BSD.0000000000000292","article-title":"Complete spondylectomy using orthogonal spinal fixation and combined anterior and posterior approaches for thoracolumbar spinal reconstruction: technical nuances and clinical results","volume":"30","author":"Zaidi","year":"2017","journal-title":"Clin Spine Surg."},{"issue":"2","key":"bib4-20260505","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3171\/2022.1.SPINE21900","article-title":"3D-printed vertebral body for anterior spinal reconstruction in patients with thoracolumbar spinal tumors","volume":"37","author":"Zhou","year":"2022","journal-title":"J Neurosurg Spine."},{"issue":"3","key":"bib5-20260505","doi-asserted-by":"crossref","first-page":"668","DOI":"10.21037\/jss.2018.09.02","article-title":"En bloc resection in the spine: a procedure of surgical oncology","volume":"4","author":"Boriani","year":"2018","journal-title":"J Spine Surg."},{"issue":"2 suppl Operative","key":"bib6-20260505","first-page":"onsE248","article-title":"5-Level spondylectomy for en bloc resection of thoracic chordoma: case report","volume":"69","author":"Sciubba","year":"2011","journal-title":"Neurosurgery."},{"issue":"2 suppl","key":"bib7-20260505","first-page":"264","article-title":"Total en bloc lumbar spondylectomy. Case report","volume":"95","author":"Marmor","year":"2001","journal-title":"J Neurosurg."},{"issue":"1","key":"bib8-20260505","first-page":"94","article-title":"Anterior minimally invasive extrapleural retroperitoneal approach to the thoraco-lumbar junction of the spine","volume":"99","author":"Litr\u00e9","year":"2013","journal-title":"OrthopTraumatol Surg Res."},{"key":"bib9-20260505","doi-asserted-by":"crossref","first-page":"1031708","DOI":"10.3389\/fonc.2022.1031708","article-title":"En bloc resection of huge primary tumors with epidural involvement in the mobile spine using the \u201crotation-reversion\u201d technique: feasibility, safety, and clinical outcome of 11 cases","volume":"12","author":"Lu","year":"2022","journal-title":"Front Oncol."},{"issue":"17","key":"bib10-20260505","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.21037\/atm-19-4719","article-title":"A prospective randomized cohort study on 3D-printed artificial vertebral body in single-level anterior cervical corpectomy for cervical spondylotic myelopathy","volume":"8","author":"Wei","year":"2020","journal-title":"Ann Transl Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:28:42Z","timestamp":1787750922000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00014"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.26.00014","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}