Author:
Gallia Gary L.,Haque Raqeeb,Garonzik Ira,Witham Timothy F.,Khavkin Yevgeniy A.,Wolinsky Jean Paul,Suk Ian,Gokaslan Ziya L.
Abstract
✓ Although radical resection prolongs the disease-free survival period, surgical management of primary sacral tumors is challenging because of their location and often large size. Moreover, in cases of lesions for which a radical resection necessitates total sacrectomy, reconstruction is required. The authors have previously described a modified Galveston technique in which a liaison between the spine and pelvis is achieved using lumbar pedicle screws and Galveston rods embedded into the ilia; additionally, a transiliac bar reestablishes the pelvic ring. Although this reconstruction technique achieves stabilization, several biomechanical limitations exist. In the present report the authors present the case of a patient who underwent spinal pelvic reconstruction after a total sacrectomy was performed to remove a giant sacral chordoma. They describe a novel spinal pelvic reconstruction technique that addresses some of the biomechanical limitations.
Publisher
Journal of Neurosurgery Publishing Group (JNSPG)
Cited by
54 articles.
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