Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases.

作者: Murat Arıkan , Guray Togral , Askin Esen Hasturk , Fevzi Kekec , Murat Parpucu

DOI: 10.4184/ASJ.2015.9.6.971

关键词:

摘要: In this retrospective study, surgical results of four patients with sacral tumors having disparate pathologic diagnoses, who were treated partial or total sacrectomy and lumbopelvic stabilization abstracted. Two resection two spinopelvic fixation. Fixation methods included fixation rods screws in cases, reconstruction plate one case, fresh frozen allografts cases. Fibular used for accelerated bony union enhanced the stability Addition polymethyl methacrylate cavity case a giant cell tumor had positive stabilizing effect on As result, we can conclude that mechanical instability after be stabilized securely application addition between augment reconstruction.

参考文章(19)
R Lor Randall, James Bruckner, Chris Lloyd, Timothy H Pohlman, Ernest U Conrad, Sacral resection and reconstruction for tumors and tumor-like conditions. Orthopedics. ,vol. 28, pp. 307- 313 ,(2005) , 10.3928/0147-7447-20050301-17
Daniel M. Sciubba, Clarke Nelson, Beryl Gok, Matthew J. McGirt, Gregory S. McLoughlin, Joseph C. Noggle, Jean Paul Wolinsky, Timothy F. Witham, Ali Bydon, Ziya L. Gokaslan, Evaluation of factors associated with postoperative infection following sacral tumor resection: Clinical article Journal of Neurosurgery. ,vol. 9, pp. 593- 599 ,(2008) , 10.3171/SPI.2008.9.0861
Thomas B. Ducker, John W. Frymoyer, The adult spine : principles and practice Raven Press. ,(1991)
Dasen Li, Wei Guo, Huayi Qu, Rongli Yang, Xiaodong Tang, Taiqiang Yan, Shun Tang, Yi Yang, Tao Ji, Sen Dong, Experience with wound complications after surgery for sacral tumors European Spine Journal. ,vol. 22, pp. 2069- 2076 ,(2013) , 10.1007/S00586-013-2765-X
Thomas E. Kaiser, Douglas J. Pritchard, Krishnan K. Unni, Clinicopathologic study of sacrococcygeal chordoma. Cancer. ,vol. 53, pp. 2574- 2578 ,(1984) , 10.1002/1097-0142(19840601)53:11<2574::AID-CNCR2820531136>3.0.CO;2-5
Cuneyt Sar, Levent Eralp, Surgical treatment of primary tumors of the sacrum. Archives of Orthopaedic and Trauma Surgery. ,vol. 122, pp. 148- 155 ,(2002) , 10.1007/S00402-001-0356-5
B. Gunterberg, B. Romanus, B. Stener, Pelvic strength after major amputation of the sacrum. An exerimental study. Acta Orthopaedica Scandinavica. ,vol. 47, pp. 635- 642 ,(1976) , 10.3109/17453677608988751
Zhi-yu Zhang, Chang-feng Fu, Ying-xin Yang, Li-qiang Wang, Yan Cui, Yi Liu, Long-term outcomes following en bloc resection for sacral tumor: a retrospective analysis of 93 cases. Orthopedics. ,vol. 34, ,(2011) , 10.3928/01477447-20110627-18
Pietro Ruggieri, Andrea Angelini, Giuseppe Ussia, Maurizio Montalti, Mario Mercuri, Surgical Margins and Local Control in Resection of Sacral Chordomas Clinical Orthopaedics and Related Research®. ,vol. 468, pp. 2939- 2947 ,(2010) , 10.1007/S11999-010-1472-8
Ronald R Hugate, Ian D Dickey, Rapin Phimolsarnti, Michael J Yaszemski, Franklin H Sim, Mechanical effects of partial sacrectomy: when is reconstruction necessary? Clinical Orthopaedics and Related Research. ,vol. 450, pp. 82- 88 ,(2006) , 10.1097/01.BLO.0000229331.14029.44