Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases
In this retrospective study, surgical results of four patients with sacral tumors having disparate pathologic diagnoses, who were treated with partial or total sacrectomy and lumbopelvic stabilization were abstracted. Two patients were treated with partial sacral resection and two patients were trea...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2015-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-9-971.pdf |
| _version_ | 1819080401084219392 |
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| author | Murat Arıkan Guray Togral Askin Esen Hasturk Fevzi Kekec Murat Parpucu Safak Gungor |
| author_facet | Murat Arıkan Guray Togral Askin Esen Hasturk Fevzi Kekec Murat Parpucu Safak Gungor |
| author_sort | Murat Arıkan |
| collection | DOAJ |
| description | In this retrospective study, surgical results of four patients with sacral tumors having disparate pathologic diagnoses, who were treated with partial or total sacrectomy and lumbopelvic stabilization were abstracted. Two patients were treated with partial sacral resection and two patients were treated with total sacrectomy and spinopelvic fixation. Fixation methods included spinopelvic fixation with rods and screws in two cases, reconstruction plate in one case, and fresh frozen allografts in two cases. Fibular allografts used for reconstruction accelerated bony union and enhanced the stability in two cases. Addition of polymethyl methacrylate in the cavity in the case of a giant cell tumor had a positive stabilizing effect on fixation. As a result, we can conclude that mechanical instability after sacral resection can be stabilized securely with lumbopelvic fixation and polymethyl methacrylate application or addition of fresh frozen allografts between the rods can augment the stability of the reconstruction. |
| first_indexed | 2024-12-21T19:44:17Z |
| format | Article |
| id | doaj.art-859ad8daa7c64bc0b89d3031e3fad477 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T19:44:17Z |
| publishDate | 2015-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-859ad8daa7c64bc0b89d3031e3fad4772022-12-21T18:52:23ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462015-12-019697197710.4184/asj.2015.9.6.971880Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four CasesMurat Arıkan0Guray Togral1Askin Esen Hasturk2Fevzi Kekec3Murat Parpucu4Safak Gungor5Department of Orthopedics, Oncology Training and Research Hospital, Ankara, Turkey.Department of Orthopedics, Oncology Training and Research Hospital, Ankara, Turkey.Department of Neurosurgery, Oncology Training and Research Hospital, Ankara, Turkey.Department of Orthopedics, Oncology Training and Research Hospital, Ankara, Turkey.Department of Anesthesiology, Oncology Training and Research Hospital, Ankara, Turkey.Department of Orthopedics, Oncology Training and Research Hospital, Ankara, Turkey.In this retrospective study, surgical results of four patients with sacral tumors having disparate pathologic diagnoses, who were treated with partial or total sacrectomy and lumbopelvic stabilization were abstracted. Two patients were treated with partial sacral resection and two patients were treated with total sacrectomy and spinopelvic fixation. Fixation methods included spinopelvic fixation with rods and screws in two cases, reconstruction plate in one case, and fresh frozen allografts in two cases. Fibular allografts used for reconstruction accelerated bony union and enhanced the stability in two cases. Addition of polymethyl methacrylate in the cavity in the case of a giant cell tumor had a positive stabilizing effect on fixation. As a result, we can conclude that mechanical instability after sacral resection can be stabilized securely with lumbopelvic fixation and polymethyl methacrylate application or addition of fresh frozen allografts between the rods can augment the stability of the reconstruction.http://www.asianspinejournal.org/upload/pdf/asj-9-971.pdfSpinopelvic reconstructionSacrectomyIliac screw fixationFresh frozen fibular allograft |
| spellingShingle | Murat Arıkan Guray Togral Askin Esen Hasturk Fevzi Kekec Murat Parpucu Safak Gungor Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases Asian Spine Journal Spinopelvic reconstruction Sacrectomy Iliac screw fixation Fresh frozen fibular allograft |
| title | Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases |
| title_full | Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases |
| title_fullStr | Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases |
| title_full_unstemmed | Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases |
| title_short | Management of Sacral Tumors Requiring Spino-Pelvic Reconstruction with Different Histopathologic Diagnosis: Evaluation with Four Cases |
| title_sort | management of sacral tumors requiring spino pelvic reconstruction with different histopathologic diagnosis evaluation with four cases |
| topic | Spinopelvic reconstruction Sacrectomy Iliac screw fixation Fresh frozen fibular allograft |
| url | http://www.asianspinejournal.org/upload/pdf/asj-9-971.pdf |
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