The problem of stabilization after sacrectomy

Blatter, G; Ward, Emmerson; Ruflin, G.; Jeanneret, B.

doi:10.1007/bf00454735

Cited by 31 publications

(18 citation statements)

References 8 publications

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“…4,16,18,22 We have previously described a modified Galveston L-rod technique. 8,10 In this reconstruction technique a bilateral liaison is created between the lumbar spine and the pelvis by placing bilateral PSs at L3-5 and L-shaped-bent rods, attached to the screws, embedded into the ilia.…”

mentioning

confidence: 99%

Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma

Gallia¹,

Haque²,

Garonzik³

et al. 2005

Journal of Neurosurgery: Spine

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Although radical resection prolongs the disease-free survival period, surgical management of primary sacral tumors is challenging because of their location and often large size. Moreover, in cases of lesions for which a radical resection necessitates total sacrectomy, reconstruction is required. The authors have previously described a modified Galveston technique in which a liaison between the spine and pelvis is achieved using lumbar pedicle screws and Galveston rods embedded into the ilia; additionally, a transiliac bar reestablishes the pelvic ring. Although this reconstruction technique achieves stabilization, several biomechanical limitations exist. In the present report the authors present the case of a patient who underwent spinal pelvic reconstruction after a total sacrectomy was performed to remove a giant sacral chordoma. They describe a novel spinal pelvic reconstruction technique that addresses some of the biomechanical limitations.

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mentioning

confidence: 99%

Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma

Gallia¹,

Haque²,

Garonzik³

et al. 2005

Journal of Neurosurgery: Spine

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“…Studies have shown that pelvic stability is maintained if at least half the sacroiliac joint 16 and half the first sacral body 29,30 are preserved. In our patient, we preserved the sacroiliac joint and most of the sacrum.…”

Section: Discussionmentioning

confidence: 98%

Osteochondroma of the Sacrum: A Case Report and Review of the Literature

Samartzis¹,

Marco²

2006

Spine

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“…The location of the tumor within the sacrum determines whether a partial or total sacrectomy will be necessary to achieve a radical excision. Whereas subtotal resection of the sacrum caudal to midportion of the S1 vertebral body (VB) does not destabilize the pelvis, total sacrectomy requires establishment of a bilateral union between the lumbar spine and the ilium, as well as a reconstruction of the pelvic ring (2,5). Although the anterior approach is strongly recommended for sacral chordoma tumors, the posterior approach is adequate for total resection using retrorectal fat tissue as a cleavage line between tumor and rectum.…”

Section: Discussionmentioning

confidence: 99%

Total resection of inferiorly located sacral chordoma with posterior only approach: case report and review of the literature

Sabuncuoğlu

Özdoğan²,

Doğan³

et al. 2009

Turkish Neurosurgery

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Chordoma is a primary sacral neoplasm of ectodermal origin and makes up %1-4 of all primary bone tumors. It is usually present on the midline cerebrospinal axis and the most common locations are the spheno-clival region and the sacrum. The treatment of primary sacral tumors represents a challenge because of a large tumor mass at presentation and a hemorrhage risk in surgery. Sacral tumors may present a difficult problem to the surgeon who desires to obtain a clear margin of excision. Using the retrorectal fat tissue as a cleavage line in the posterior approach guides the neurosurgeon to resect the tumor totally and reduce the hemorrhage in sacral chordomas. In this case report, we tried to discuss the advantages of using of retrorectal fat tissue as a cleavage line in sacral chordomas under the literature. KeywoRdS: Sacrum, Posterior approach, Retrorectal fatty tissue ÖZ Kordoma ektodermal kaynaklı primer sakral neoplazmdır ve tüm primer kemik tümörlerinin %1-4'ünü oluşturur. Genellikle serebrospinal aksın orta hattında bulunurlar ve çoğunlukla yerleşim yerleri sfenoklival bölge ve sakrumdur. Primer sakral tümörlerin tedavisi; ilk ortaya çıktıklarında büyük bir kitle oluşturmuş olmaları ve cerrahide kanama riskleri nedeniyle çözülmesi gereken bir sorun olarak durmaktadır. Sakral tümörler, net bir eksizyon sınırı sağlamak isteyen cerrahlar için zorlu bir problem oluşturur. Posterior yaklaşımda retrorektal yağ dokusunun klavaj hattı olarak kullanılması; beyin cerrahına tümörün tümüyle rezeke edilmesi için yol gösterir ve sakral kordomalarda kanamayı azaltır. Bu olgu sunumunda, sakral kordomalarda retrorektal yağ dokusunun klavaj hattı olarak kullanılmasının yararlarını literatür eşliğinde tartışmak istedik.

show abstract

The problem of stabilization after sacrectomy

Cited by 31 publications

References 8 publications

Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma

Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma

Osteochondroma of the Sacrum: A Case Report and Review of the Literature

Total resection of inferiorly located sacral chordoma with posterior only approach: case report and review of the literature

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