| Home | Magazines | Editorial Board | Instruction | Subscribe Guide | Archive | Advertising | Template | Guestbook | Help |
| GUO Wei,TANG Xiaodong,LI Dasen.Total sacrectomy for primary multilevel malignant sacral tumors[J].Chinese Journal of Spine and Spinal Cord,2010,20(6):472-476. |
| Total sacrectomy for primary multilevel malignant sacral tumors |
| Received:February 20, 2010 Revised:March 05, 2010 |
| English Keywords:Sacrum Malignant tumor Total sacrectomy |
| Fund: |
|
| Hits: 6255 |
| Download times: 42 |
| English Abstract: |
| 【Abstract】 Objective：To investigate the surgical approach and indication of total sacrectomy for primary multilevel malignant sacral tumors.Method：Between July 2007 and July 2009，6 patients with malignant sacral tumors received one-stage total sacrectomy by a combined anterior-posterior approach and rod-screw reconstruction in our center.There were 4 males and 2 females，with the average age of 38.8 years（range，20-59 years）.S1-S4，S1-S3 and L5-S4 were involved in 4，1 and 1 patient respectively.Histological diagnoses were chordoma（2），chondrosarcoma（2），malignant peripheral nerve sheath tumor（1） and Ewing sarcoma（1）.Result：The mean operation time was 12 hours（range，11-13 hours），with the mean intraoperative blood loss of 4500ml（range，3800-4500ml）.There was no perioperative death and severe complications such as visceral leakage in all 6 patients.Bilateral S1 nerve roots were sacrificed in 6 patients and plantar flexion was not noted sequentially.Lumbosacral stability was reconstructed using rod-screw system in all cases.All patients were allowed to ambulate with the aid of crutches 6 weeks after operation.The mean follow-up was 10.3 months（range，3-25 months）.No local recurrence or metastasis was found at final follow up.Conclusion：One-stage total sacrectomy with combined anterior-posterior approach can ensure satisfied oncological margin，however the indication should be strictly limited due to its great surgical challenge. |
| View Full Text View/Add Comment Download reader |
| Close |
|
|
|
|
|