[Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation].

摘要: Background. Total sacrectomy with spinal-pelvic fixation is considered to be a successful approach the radical surgical treatment of extensive sacral tumors, however, technically very demanding, thus only rarely reported in the literature. We presented patient sacral gigantocellular tumor managed successfully using this method but certain standard operative techniques improvements. Case report. A 30-year old pronounced painful syndrome and sphincter disorders was confirmed have gigantocellular affecting greater part sacrum. Tumor resection performed first act out off retroperitoneal organs (colon blood vesels), sacroiliac joints were open by ventral side, L5 discus removed, S2-S5 roots cut off. In second act, performed three weeks later, completed reconstruction pelvic ring and fixation. Then, technique modified provide additional spinal The results operation (duration, blood loss, postoperative deficit) quite comparable with, some aspects even better than published Conclusion. Total can be therapy choice patients tumors requaring, multidisciplinary considerable experience instrumental spinal stabilization.