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After 2 biopsies to confirm the diagnosis, the patient underwent a posterior spinal fusion followed by bilateral clamshell thoracotomy for 3-level en bloc resection with simultaneous access to both chest cavities and the mediastinum. To demonstrate how the clamshell thoracotomy was used to facilitate the tumor resection, an operative video and illustrations are provided, which show in detail how the clamshell thoracotomy can be used to access both hemithoraxes and the mediastinum.<\/jats:p>","DOI":"10.3171\/2020.6.focus20382","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T06:32:03Z","timestamp":1598941923000},"page":"E16","source":"Crossref","is-referenced-by-count":6,"title":["Clamshell thoracotomy for en bloc resection of a 3-level thoracic chordoma: technical note and operative video"],"prefix":"10.3171","volume":"49","author":[{"given":"John F.","family":"Burke","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory R.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph H.","family":"Garcia","sequence":"additional","affiliation":[{"name":"School of Medicine,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenton","family":"Pennicooke","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Adult Cardiothoracic Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigurd H.","family":"Berven","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1016\/j.nec.2015.03.012","article-title":"Chordomas: a review","volume":"26","author":"George B","year":"2015","unstructured":"George B, Bresson D, Herman P, Froelich S. 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