Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation
Background. Total sacrectomy with spinal-pelvic fixation is considered to be a successful approach to the radical surgical treatment of extensive sacral tumors, however, technically very demanding, thus only rarely reported in the literature. We presented a patient with sacral gigantocellular tum...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2011-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109804S.pdf |
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| author | Savić Milenko |
| author_facet | Savić Milenko |
| author_sort | Savić Milenko |
| collection | DOAJ |
| description | Background. Total sacrectomy with spinal-pelvic fixation is considered to be a successful approach to the radical surgical treatment of extensive sacral tumors, however, technically very demanding, thus only rarely reported in the literature. We presented a patient with sacral gigantocellular tumor managed successfully using this method but with certain standard operative techniques improvements. Case report. A 30-year old patient with a pronounced painful syndrome and sphincter disorders was confirmed to have sacral gigantocellular tumor affecting a greater part of the sacrum. Tumor resection was performed in the first act out off retroperitoneal organs (colon and blood vesels), sacroiliac joints were open by the ventral side, the L5 discus removed, the S2-S5 roots cut off. In the second act, performed three weeks later, sacrectomy was completed by the reconstruction of pelvic ring and spinal-pelvic fixation. Then, the standard technique was modified to provide additional spinal fixation. The results of the operation (duration, blood loss, postoperative deficit) were quite comparable with, and in some aspects even better than the results published in the literature. Conclusion. Total sacrectomy with spinal-pelvic fixation can be a therapy of choice in patients with extensive sacral tumors requaring, however, the multidisciplinary approach and a considerable experience with instrumental spinal stabilization. |
| format | Article |
| id | doaj-art-74bfc884ca384e82a6abcaa8c1ebbef6 |
| institution | DOAJ |
| issn | 0042-8450 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-74bfc884ca384e82a6abcaa8c1ebbef62025-08-20T03:19:16ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502011-01-0168980480810.2298/VSP1109804SSacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixationSavić MilenkoBackground. Total sacrectomy with spinal-pelvic fixation is considered to be a successful approach to the radical surgical treatment of extensive sacral tumors, however, technically very demanding, thus only rarely reported in the literature. We presented a patient with sacral gigantocellular tumor managed successfully using this method but with certain standard operative techniques improvements. Case report. A 30-year old patient with a pronounced painful syndrome and sphincter disorders was confirmed to have sacral gigantocellular tumor affecting a greater part of the sacrum. Tumor resection was performed in the first act out off retroperitoneal organs (colon and blood vesels), sacroiliac joints were open by the ventral side, the L5 discus removed, the S2-S5 roots cut off. In the second act, performed three weeks later, sacrectomy was completed by the reconstruction of pelvic ring and spinal-pelvic fixation. Then, the standard technique was modified to provide additional spinal fixation. The results of the operation (duration, blood loss, postoperative deficit) were quite comparable with, and in some aspects even better than the results published in the literature. Conclusion. Total sacrectomy with spinal-pelvic fixation can be a therapy of choice in patients with extensive sacral tumors requaring, however, the multidisciplinary approach and a considerable experience with instrumental spinal stabilization.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109804S.pdfneurosurgical proceduressacrumgiant cell tumorstreatment outcome |
| spellingShingle | Savić Milenko Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation Vojnosanitetski Pregled neurosurgical procedures sacrum giant cell tumors treatment outcome |
| title | Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation |
| title_full | Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation |
| title_fullStr | Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation |
| title_full_unstemmed | Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation |
| title_short | Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation |
| title_sort | sacral gigantocellular tumor treated with total sacrectomy and spinal pelvic fixation |
| topic | neurosurgical procedures sacrum giant cell tumors treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109804S.pdf |
| work_keys_str_mv | AT savicmilenko sacralgigantocellulartumortreatedwithtotalsacrectomyandspinalpelvicfixation |