Does a lumbar spinal cord chordoma require surgery regardless of size?

Lumbar intravertebral chordoma generally requires surgical treatment as long as there is no clear contraindication to surgery. The main surgical methods include resection of chordoma, decompression of spinal canal, soft tissue repair, etc. The specific surgical methods should be chosen under the guidance of doctors according to the specific conditions of patients.
Chordoma originates from arachnoid endothelial cells or fibroblasts of the dura mater, it is a kind of benign spinal cord tumor. However, as the tumor increases in size, it will compress the spinal cord, resulting in limb movement and sensory disorders, therefore, lumbar spinal canal chordoma can not be cured on its own, and needs to be treated.
Chordoma is not sensitive to chemotherapy and radiotherapy, and there is no special therapeutic drug. The spinal cord tissue itself is more fragile, so radiotherapy is generally not given to patients with lumbar spinal canal chordoma, so as to avoid the lack of obvious control of chordoma, and on the contrary, it will cause radioactive injury to the spinal cord, and aggravate the patient’s neurological dysfunction. Therefore, surgical resection is generally preferred for lumbar spinal canal spinal meningioma, and most of the patients are treated by this method.
If the diagnosis of lumbar spinal canal chordoma is confirmed, it is recommended to consult a doctor in time for surgical treatment, and carry out rehabilitation training under the guidance of the doctor after the operation.