Abstract:
:The authors carried out successful total sacrectomy in three cases, two with giant cell tumors and one with a chordoma. The anterior and posterior approach is feasible for resecting huge sacral tumors en bloc, but it is important to reconstruct the continuity between the pelvic ring and spinal column using spinal instrumentation and sacral rods or AO plates. As total sacrectomy is a large-scale, time-consuming, and collaborative operation, two or three teams should be used in relays. Both pelvic and spinal surgical techniques are required. Post-operatively the patient can stand within 3 to 6 months and well-planned rehabilitation allows ambulation. In spite of the serious structural and neurologic damage caused, total sacrectomy can be rewarding procedure in terms of improved morbidity and mortality.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Tomita K,Tsuchiya Hdoi
10.1097/00007632-199011010-00024subject
Has Abstractpub_date
1990-11-01 00:00:00pages
1223-7issue
11eissn
0362-2436issn
1528-1159journal_volume
15pub_type
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