Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A prospective, open-label feasibility study protocol of home-based transcranial direct current stimulation for major depressive disorder in elective lumbar spine surgery candidates.

Frontiers in human neuroscience·2026
Same author

Surgical Management of Spinal Chondrosarcoma: Retrospective Case Series and Systematic Review of the Literature.

Operative neurosurgery (Hagerstown, Md.)·2026
Same author

Biomarkers in Spinal Metastasis of Breast Cancer: Insights Into Survival and Functional Outcomes.

Journal of clinical neurology (Seoul, Korea)·2026
Same author

Age-related differences in surgical outcomes for traumatic central cord syndrome: a multi-institutional causal machine learning analysis.

Journal of neurosurgery. Spine·2026
Same author

Safety of Perioperative Immunotherapy Use on Wound Healing After Surgery for Spinal Metastases.

Neurosurgery·2026
Same author

Sex-based differences in early neurological recovery after traumatic spinal cord injury.

The journal of trauma and acute care surgery·2026

Related Experiment Video

Updated: Apr 15, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

6.0K

Soft-tissue reconstruction after total en bloc sacrectomy.

Jennifer E Kim1,2, John Pang1, Joani M Christensen1

  • 1Departments of 1Plastic and Reconstructive Surgery and.

Journal of Neurosurgery. Spine
|March 28, 2015
PubMed
Summary

Total sacrectomy requires flap reconstruction for extensive defects. Gluteus maximus (GM) and vertical rectus abdominis myocutaneous (VRAM) flaps offer reliable soft-tissue reconstruction, aiding patient ambulation post-surgery.

Keywords:
AP = anterior-posteriorBMI = body mass indexDM = diabetes mellitusEBL = estimated blood lossGM = gluteus maximusLD = latissimus dorsiLOS = length of hospital stayPSM = paraspinous muscleRT = radiation therapyVAC = vacuum-assisted closureVRAMVRAM = vertical rectus abdominis myocutaneousplastic surgerysacral tumorsacrectomysoft tissue defectspine surgery

More Related Videos

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
09:14

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Published on: December 30, 2025

282
A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

52.3K

Related Experiment Videos

Last Updated: Apr 15, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

6.0K
Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
09:14

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Published on: December 30, 2025

282
A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

52.3K

Area of Science:

  • Surgical Oncology
  • Plastic and Reconstructive Surgery
  • Orthopedic Surgery

Background:

  • Total en bloc sacrectomy creates significant defects requiring complex reconstruction.
  • Flap reconstruction is crucial for managing these extensive sacral defects.

Purpose of the Study:

  • To present clinical outcomes of flap reconstruction after total sacrectomy.
  • To establish a treatment algorithm for this patient population.

Main Methods:

  • Retrospective data collection of patients undergoing total sacrectomy (2002-2012).
  • Analysis of demographic, tumor, surgical, and outcome variables.
  • Exclusion of subtotal sacrectomies.

Main Results:

  • Nine patients underwent total sacrectomy with flap reconstruction for diagnoses including chordoma, sarcoma, and metastatic cancer.
  • Gluteus maximus (GM) and pedicled vertical rectus abdominis myocutaneous (VRAM) flaps were utilized.
  • Functional outcomes showed significant ambulation improvement by 12 months post-surgery.

Conclusions:

  • GM and VRAM flaps are reliable for soft-tissue reconstruction after total sacrectomy.
  • GM flaps are suitable for posterior-only approaches, while VRAM flaps are considered gold standard for multistage procedures.
  • The study provides guidance for surgical management of total sacrectomy defects.