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Total sacrectomy and reconstruction for huge sacral tumors
1Department of Orthopedic Surgery, School of Medicine, Kanazawa University, Japan.
Spine
|November 1, 1990
Summary
Total sacrectomy is a viable surgical option for extensive sacral tumors, including giant cell tumors and chordoma. This complex procedure, requiring multidisciplinary teams, enables improved patient outcomes and survival rates.
Area of Science:
- Oncology
- Neurosurgery
- Orthopedic Surgery
Background:
- Giant cell tumors and chordomas are primary bone tumors that can necessitate extensive surgical resection.
- Total sacrectomy is a radical surgical procedure involving the removal of the entire sacrum.
Observation:
- The anterior and posterior surgical approach allows for en bloc resection of large sacral tumors.
- Reconstruction of the pelvic ring and spinal column is crucial using spinal instrumentation and sacral rods or AO plates.
Findings:
- Successful total sacrectomy was performed in three patients with giant cell tumors (two) and chordoma (one).
- The procedure requires a collaborative, multidisciplinary surgical team and advanced pelvic and spinal surgical techniques.
- Post-operative recovery allows patients to stand within 3 to 6 months, with rehabilitation facilitating ambulation.
Implications:
- Total sacrectomy, despite significant structural and neurological challenges, can be a rewarding procedure.
- This surgical approach can lead to improved morbidity and mortality rates for patients with extensive sacral tumors.