The surgical approach choice for sacrum and sacral canal tumors removing

Authors

  • Eugene Slynko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Alexander Zolotoverkh Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Vadim Verbov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Ruslan Pishanov Romodanov Neurosurgery Institute, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.57567

Keywords:

sacral tumors, surgical treatment

Abstract

The results of examination and surgical treatment of 69 patients, have been operated in clinic because of sacral tumors from 1999 to 2011 years were analyzed. In 18 patients after tumor removing pelvo-lumbar fixation was performed. Tumors of lower sacral vertebrae were removed more easily from posterior and transperineal approaches. Anterior approaches (transabdominal, retroperitoneal) were used at upper sacral vertebrae (SI–SIII) or the whole sacrum (SI–SV) lesion. Sacrum tumors radical removing depends on the surgical approach adequacy, which wood be chosen not only because sacrum lesions heaviness but also tumor spread beyond the sacrum.

References

Oncologic and functional outcome following sacrectomy for sacral chordoma / C.A. Hulen, H.T. Temple, W.P. Fox [et al.] // J. Bone Joint Surg. Am. — 2006. — V.88, N7. — P.1532–1539.

Nerve sheath tumors involving the sacrum. Case report and classification scheme / P. Klimo Jr., G. Rao, R.H. Schmidt, M.H. Schmidt // Neurosurg. Focus. — 2003. — V.15, N15. — P.12–17.

A large giant cell tumor of the sacrum. Advantage of an abdomino-sacral approach / A.H. Alla, S.I. Mahadi, A.M. Elhassan, M.E. Ahmed // Saudi Med. J. — 2005. — V.26, N1. — P.133–135.

Aneurysmal bone cysts of the sacrum. Clinical report and review of the literature / P. Pogoda, W. Linhart, M. Priemel [et al.] // Arch. Orthop. Trauma Surg. — 2003. — V.123, N5. — P.247–251.

Surgical techniques for total sacrectomy and spinopelvic reconstruction / H.Y. Zhang, I. Thongtrangan, R.S. Balabhadra [et al.] // Neurosurg. Focus. — 2003. — V.15, N15. — P.5–9.

Nader R. Metastatic sacral tumors / R. Nader, L.D. Rhines, E. Mendel // Neurosurg. Clin. N. Am. — 2004. — V.15, N4. — P.453–457.

The inferior hypogastric plexus (pelvic plexus): it’s importance in neural preservation techniques / B. Mauroy, X. Demondion, A. Drizenko [et al.] // Surg. Radiol. Anat. — 2003. — V.25, N1. — P.16–18.

En bloc resection of primary sacral tumors: classification of surgical approaches and outcome / D.R. Fourney, L.D. Rhines, S.J. Hentschel [et al.] // J. Neurosurg. Spine. — 2005. — V.3, N2. — P.111–122.

Management of massive presacral bleeding during low pelvic surgery — an alternative technique /E. Papalambros, F. Sigala, E. Felekouras [et al.] // Zbl. Chir. — 2005. — Bd.130, H.3. — S.267–269.

Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap / B.S. Glatt, J.J. Disa, B.J. Mehrara [et al.] // Ann. Plast. Surg. — 2006. — V.56, N5. — P.526–530.

Bohinski R.J. Novel use of a threadwire saw for high sacral amputation. Technical note and description of operative technique / R.J. Bohinski, E. Mendel, L.D. Rhines // J. Neurosurg. Spine. — 2005. — V.3, N1. — P.71–78.

Clinical significance of a wide excision policy for sacrococcygeal chordoma /S. Osaka, O. Kodoh, H. Sugita [et al.] // J. Cancer Res. Clin. Oncol. — 2006. — V.132, N4. — P.213–218.

Reconstruction after total sacrectomy: Early experience with a new surgical technique / I.D. Dickey, R.R. Hugate Jr., B. Fuchs [et al.] // Clin. Orthop. Relat. Res. — 2005. — V.43, N8. — P.42–50.

The mini-invasive anterior extraperitoneal approach to the pelvis / M.A. Rousseau, H. Pascal-Mousselard, J.Y. Lazennec [et al.] // Eur. J. Surg. Oncol. — 2005. — V.31, N8. — P.924–926.

Radical excision of malignant sacral tumors using a modified threadwire saw / S. Osaka, O. Kondoh, Y. Yoshida, J. Ryu // J. Surg. Oncol. — 2006. — V.15, N3. — P.312–317.

Samartzis D. Osteochondroma of the sacrum: a case report and review of the literature / D. Samartzis, R.A. Marco // Spine. — 2006. — V.1, N31. — P.425–429.

Published

2011-12-01

How to Cite

Slynko, E., Zolotoverkh, A., Verbov, V., & Pishanov, R. (2011). The surgical approach choice for sacrum and sacral canal tumors removing. Ukrainian Neurosurgical Journal, (4), 37–41. https://doi.org/10.25305/unj.57567

Issue

Section

Original articles