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Updated: Jun 27, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Decision making in primary sacral tumors.

Ajay Puri1, Manish G Agarwal, Mandip Shah

  • 1Department of Orthopaedic Oncology, Tata Memorial Hospital, Room No: 26, E. Borges Road, Parel, Mumbai 400 012, India. docpuri@vsnl.com

The Spine Journal : Official Journal of the North American Spine Society
|December 9, 2008
PubMed
Summary
This summary is machine-generated.

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Surgical management of primary sacral tumors is complex. Wide resection offers the best local control for malignant tumors, but carries risks. Careful consideration of surgical approach is crucial for outcomes.

Area of Science:

  • Oncology
  • Neurosurgery
  • Orthopedic Oncology

Background:

  • Primary sacral tumors are rare and challenging to manage.
  • Optimal outcomes require balancing disease control with minimizing neurological dysfunction.

Purpose of the Study:

  • To present surgical outcomes for primary sacral tumors treated at a specialist oncology center.
  • Evaluate local disease control, neurological function, and complications.

Main Methods:

  • Retrospective review of 17 primary sacral tumors surgically treated between 2000-2005.
  • Tumor types included chordoma, giant cell tumor, aneurysmal bone cyst, chondrosarcoma, and osteoblastoma.
  • Treatments included wide excision, partial sacral amputation, and curettage; some received radiation.

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Main Results:

  • Bladder/bowel control loss occurred in 6/6 patients preoperatively affected, and 6/10 with preoperative control.
  • Local recurrence rates were higher with curettage (2/6) and inadequate margins.
  • Wound complication rate was 13%.

Conclusions:

  • Wide resection with adequate margins is recommended for malignant sacral tumors.
  • Curettage increases recurrence risk and may not preserve neurological function.
  • Serial embolization may be beneficial for benign tumors above S3 to preserve function.