Chordomas originate from embryonic notochord remnants and primarily involve the sacrum, spine, and skull base. These tumors grow slowly but are invasive, often infiltrating nearby bones, nerves, and soft tissues. Symptoms depend on tumor location: skull base chordomas may cause headaches, vision problems, or cranial nerve deficits, while spinal chordomas may present with pain, numbness, or weakness. Due to their aggressive local behavior and high recurrence risk, chordomas require early detection, multidisciplinary evaluation, and precise surgical planning for effective management and improved prognosis.
Diagnosis relies on MRI and CT imaging to assess tumor size, location, and involvement of surrounding structures. Biopsy confirms the chordoma type and guides further treatment. Preoperative planning includes neuronavigation, 3D imaging, and multidisciplinary consultations with oncology, radiology, and reconstructive specialists. Surgical strategies are individualized to maximize tumor resection while preserving neurological function. For skull base or spinal chordomas, careful mapping of vital neurovascular structures ensures safe access and minimizes complications. Advanced planning improves surgical precision, reduces operative time, and enhances long-term outcomes for patients.
Surgery aims to remove the tumor completely while maintaining structural stability and neurological function. Techniques include en bloc resection, skull base microsurgery, spinal stabilization, and, where appropriate, minimally invasive or endoscope-assisted approaches. Complex cases may require vertebral reconstruction or dural repair to maintain spinal or cranial integrity. Adjunct therapies such as radiotherapy may be considered for residual tumors. Dr. Vamsi Krishna leverages high-definition imaging, neuronavigation, and microsurgical expertise to ensure maximal tumor removal with minimal complications, addressing both functional preservation and long-term tumor control.
Postoperative recovery focuses on pain management, structural support, and restoration of neurological function. Hospital stays vary depending on tumor size, location, and surgical complexity. Rehabilitation programs include physiotherapy, occupational therapy, posture correction, and gradual mobilization to regain mobility and strength. Regular follow-up imaging monitors tumor recurrence or residual disease. Supportive care, counseling, and lifestyle modifications enhance patient well-being. Structured rehabilitation helps patients regain independence, minimize neurological deficits, and improve overall quality of life after chordoma surgery.
Chordoma surgery demands specialized expertise, precision, and multidisciplinary collaboration. Dr. Vamsi Krishna, Consultant Neurosurgeon at Yashoda Hospitals, Hitech City, Hyderabad, combines microsurgical and minimally invasive techniques with advanced neuronavigation for safe and effective tumor removal. His patient-focused approach ensures clear communication, individualized treatment, and comprehensive postoperative care. By integrating surgical expertise, cutting-edge technology, and meticulous planning, Dr. Vamsi Krishna provides patients with optimal outcomes, reduced complications, and improved quality of life after chordoma surgery, making him a trusted neurosurgical specialist in Hyderabad.
