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Surgical Strategy for Sacral Tumor Resection.

Kwang Ryeol Kim1,2, Kyung Hyun Kim2, Jeong Yoon Park2

  • 1Department of Neurosurgery, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Yonsei Medical Journal
|December 31, 2020
PubMed
Summary

This study details a precise surgical strategy for sacrectomy in 16 patients, highlighting the need for spinopelvic reconstruction and addressing potential complications like motor weakness and functional impairment.

Keywords:
Embolizationmuscle flapsacral tumorsacrectomyspinopelvic reconstructionstrategy

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Area of Science:

  • Neurosurgery
  • Oncology
  • Orthopedic Surgery

Background:

  • Sacral tumors present complex surgical challenges.
  • Precise surgical strategies are crucial for effective tumor resection and patient outcomes.

Purpose of the Study:

  • To present experiences with a precise surgical strategy for sacrectomy.
  • To analyze clinical data and outcomes of patients undergoing sacrectomy.

Main Methods:

  • Retrospective review of 16 patients who underwent sacrectomy between 2011 and 2019.
  • Analysis of clinical data including age, sex, pathology, surgical approach, and prognosis.
  • Evaluation of spinopelvic reconstruction requirements and postoperative outcomes.

Main Results:

  • The primary symptom was local pain, with 56% experiencing bladder/bowel issues.
  • All patients required spinopelvic reconstruction; 3 underwent this procedure.
  • Tumor pathologies varied; 38% had postoperative motor weakness, and 5 developed new bladder/bowel symptoms.

Conclusions:

  • Surgical approach for sacral tumors depends on tumor characteristics.
  • Maximal tumor removal is recommended; root sacrifice level predicts functional impairment.
  • Preoperative angiography and spinopelvic reconstruction are vital considerations.