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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.JN

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.

Authors+Show Affiliations

Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland 21287-7713, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16381216

Citation

Gallia, Gary L., et al. "Spinal Pelvic Reconstruction After Total Sacrectomy for En Bloc Resection of a Giant Sacral Chordoma. Technical Note." Journal of Neurosurgery. Spine, vol. 3, no. 6, 2005, pp. 501-6.
Gallia GL, Haque R, Garonzik I, et al. Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note. J Neurosurg Spine. 2005;3(6):501-6.
Gallia, G. L., Haque, R., Garonzik, I., Witham, T. F., Khavkin, Y. A., Wolinsky, J. P., Suk, I., & Gokaslan, Z. L. (2005). Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note. Journal of Neurosurgery. Spine, 3(6), 501-6.
Gallia GL, et al. Spinal Pelvic Reconstruction After Total Sacrectomy for En Bloc Resection of a Giant Sacral Chordoma. Technical Note. J Neurosurg Spine. 2005;3(6):501-6. PubMed PMID: 16381216.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note. AU - Gallia,Gary L, AU - Haque,Raqeeb, AU - Garonzik,Ira, AU - Witham,Timothy F, AU - Khavkin,Yevgeniy A, AU - Wolinsky,Jean Paul, AU - Suk,Ian, AU - Gokaslan,Ziya L, PY - 2005/12/31/pubmed PY - 2006/1/13/medline PY - 2005/12/31/entrez SP - 501 EP - 6 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 3 IS - 6 N2 - 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. SN - 1547-5654 UR - https://www.unboundmedicine.com/medline/citation/16381216/Spinal_pelvic_reconstruction_after_total_sacrectomy_for_en_bloc_resection_of_a_giant_sacral_chordoma__Technical_note_ L2 - https://thejns.org/doi/10.3171/spi.2005.3.6.0501 DB - PRIME DP - Unbound Medicine ER -