Partial Sacrectomy With Lumbopelvic Fixation for Sacral Giant Cell Tumor: Emphasizing Optimal Neuro-Oncological...

Area of Science:

• Orthopedic Oncology
• Neurosurgery
• Surgical Reconstruction

Background:

• Giant cell tumors (GCTs) of bone are intermediate malignant tumors known for local infiltration and aggression, particularly in the sacrum.
• Treatment of sacral GCTs is crucial for preserving neurological function and quality of life, but surgical excision carries risks like bowel and bladder dysfunction.
• The sacrum is the most frequently affected spinal region by GCTs, necessitating effective management strategies.

Observation:

• This report presents a case of a 35-year-old female with a sacral GCT.
• The patient underwent partial sacrectomy, followed by lumbopelvic fixation and reconstruction using gluteus maximus flaps to manage the resulting dead space.

Findings:

• The surgical intervention successfully addressed the dead space created by the partial sacrectomy.
• The chosen technique achieved an optimal neuro-oncological outcome for the patient.

Implications:

• Lumbopelvic fixation combined with gluteus maximus flaps offers a viable reconstructive option after sacral GCT resection.
• This approach may enhance local control and functional preservation in patients with sacral GCTs.
• Further research into surgical techniques for sacral GCTs can improve patient outcomes and minimize long-term morbidity.