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