The patient underwent total sacrectomy
with partial excision and reconstruction of the left iliac bone.
Biomechanically, the sacrectomy leads to considerable rotational and translational instabilities of the pelvic ring.
Sabah, "Surgical treatment of primary sacral tumors: complications associated with sacrectomy," Neurosurgical Focus, vol.
van Dijk, "Total sacrectomy and reconstruction: oncologic and functional outcome," Clinical Orthopaedics and Related Research, vol.
We report on the pregnancy of a patient with Ewing sarcoma treated at the age of 18 with chemo- and radiotherapy as well as total sacrectomy. In the course of time, a "neosacrum" developed and the patient gave birth to a boy at the age of 29.
We treated the patient with a combination of neoadjuvant chemotherapy, radiation therapy, and sacrectomy. In the first preoperative phase, the patient received 3-day blocks of polychemotherapy consisting of vincristine, etoposide, doxorubicin, and ifosfamide.
Treatment with multiagent chemotherapy, radiotherapy, and surgical procedures such as sacrectomy is associated with significant late effects and reduces the chance of pregnancy .
Sacral chordoma: Can local recurrence after sacrectomy be predicted?
Oncologic and functional outcome following sacrectomy for sacral chordoma.
Reconstruction of extensive partial or total sacrectomy
defects with a trans abdominal vertical rectus abdominismyocutaneous flap.
of Massachusetts) and Vaccaro (orthopedics and neurosurgery, Thomas Jefferson U.) offer surgical trainees and surgeons an atlas that contains step-by-step illustrated descriptions of surgical techniques for spinal disorders, from common lumbar decompression to complex sacrectomy
and vertebral column resection.
Qualitative assessment of patient experiences following sacrectomy
. Journal of Surgical Oncology, 101, 447-450.