Asian Spine J.  2015 Dec;9(6):971-977. 10.4184/asj.2015.9.6.971.

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

• Arikan M
• Togral G
• Hasturk AE
• Kekec F
• Parpucu M
• Gungor S

• KMID: 2131124
• DOI: http://doi.org/10.4184/asj.2015.9.6.971

Abstract

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.

Keyword

Spinopelvic reconstruction; Sacrectomy; Iliac screw fixation; Fresh frozen fibular allograft

MeSH Terms

Allografts
Diagnosis*
Giant Cell Tumors
Humans
Polymethyl Methacrylate
Retrospective Studies
Polymethyl Methacrylate