Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note

J Neurosurg Spine. 2005 Dec;3(6):501-6. doi: 10.3171/spi.2005.3.6.0501.

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.

Publication types

  • Case Reports

MeSH terms

  • Biomechanical Phenomena
  • Bone Nails
  • Bone Screws
  • Chordoma / surgery*
  • Humans
  • Male
  • Middle Aged
  • Pain / etiology
  • Pelvis / anatomy & histology
  • Pelvis / surgery*
  • Plastic Surgery Procedures / methods*
  • Sacrum / surgery
  • Spinal Neoplasms / surgery*