Tags

Type your tag names separated by a space and hit enter

Reconstruction of the pelvis and lumbar-pelvic junction using 2 vascularized autologous bone grafts after en bloc resection for an iliosacral chondrosarcoma.
J Neurosurg Spine. 2011 Aug; 15(2):168-73.JN

Abstract

Primary pelvic sarcomas remain challenging and complex surgical problems with significant potential for postoperative impairment of ambulation, as well as bowel, bladder, and sexual function. En bloc resection with negative tumor margins represents the best chance of control or cure as current adjuvant therapies remain ineffective. Tumor involvement of the sacrum with extension to the greater sciatic notch and ipsilateral ilium requires an external hemipelvectomy and sagittal sacrectomy with sacrifice of the lower extremity to achieve en bloc resection, followed by lumbar-pelvic reconstruction. A patient with an iliosacral chondrosarcoma is presented to illustrate a novel lumbar-pelvic reconstruction technique, in which vascularized soft tissue and 2 vascularized bone grafts were harvested from the amputated lower extremity and transferred to the pelvis as composite flaps to restore pelvic ring integrity, augment lumbar-pelvic fusion, and close the soft-tissue defect. The biomechanical dynamics of this unique construct are discussed.

Authors+Show Affiliations

Department of Neurologic Surgery, The Ohio State University Medical Center, Columbus, Ohio 43210, USA. ehud.mendel@osumc.eduNo 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

21513428

Citation

Mendel, Ehud, et al. "Reconstruction of the Pelvis and Lumbar-pelvic Junction Using 2 Vascularized Autologous Bone Grafts After En Bloc Resection for an Iliosacral Chondrosarcoma." Journal of Neurosurgery. Spine, vol. 15, no. 2, 2011, pp. 168-73.
Mendel E, Mayerson JL, Nathoo N, et al. Reconstruction of the pelvis and lumbar-pelvic junction using 2 vascularized autologous bone grafts after en bloc resection for an iliosacral chondrosarcoma. J Neurosurg Spine. 2011;15(2):168-73.
Mendel, E., Mayerson, J. L., Nathoo, N., Edgar, R. L., Schmidt, C., & Miller, M. J. (2011). Reconstruction of the pelvis and lumbar-pelvic junction using 2 vascularized autologous bone grafts after en bloc resection for an iliosacral chondrosarcoma. Journal of Neurosurgery. Spine, 15(2), 168-73. https://doi.org/10.3171/2011.3.SPINE10569
Mendel E, et al. Reconstruction of the Pelvis and Lumbar-pelvic Junction Using 2 Vascularized Autologous Bone Grafts After En Bloc Resection for an Iliosacral Chondrosarcoma. J Neurosurg Spine. 2011;15(2):168-73. PubMed PMID: 21513428.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reconstruction of the pelvis and lumbar-pelvic junction using 2 vascularized autologous bone grafts after en bloc resection for an iliosacral chondrosarcoma. AU - Mendel,Ehud, AU - Mayerson,Joel L, AU - Nathoo,Narendra, AU - Edgar,Rick L, AU - Schmidt,Carl, AU - Miller,Michael J, Y1 - 2011/04/22/ PY - 2011/4/26/entrez PY - 2011/4/26/pubmed PY - 2011/11/1/medline SP - 168 EP - 73 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 15 IS - 2 N2 - Primary pelvic sarcomas remain challenging and complex surgical problems with significant potential for postoperative impairment of ambulation, as well as bowel, bladder, and sexual function. En bloc resection with negative tumor margins represents the best chance of control or cure as current adjuvant therapies remain ineffective. Tumor involvement of the sacrum with extension to the greater sciatic notch and ipsilateral ilium requires an external hemipelvectomy and sagittal sacrectomy with sacrifice of the lower extremity to achieve en bloc resection, followed by lumbar-pelvic reconstruction. A patient with an iliosacral chondrosarcoma is presented to illustrate a novel lumbar-pelvic reconstruction technique, in which vascularized soft tissue and 2 vascularized bone grafts were harvested from the amputated lower extremity and transferred to the pelvis as composite flaps to restore pelvic ring integrity, augment lumbar-pelvic fusion, and close the soft-tissue defect. The biomechanical dynamics of this unique construct are discussed. SN - 1547-5646 UR - https://www.unboundmedicine.com/medline/citation/21513428/Reconstruction_of_the_pelvis_and_lumbar_pelvic_junction_using_2_vascularized_autologous_bone_grafts_after_en_bloc_resection_for_an_iliosacral_chondrosarcoma_ L2 - https://thejns.org/doi/10.3171/2011.3.SPINE10569 DB - PRIME DP - Unbound Medicine ER -