Tags

Type your tag names separated by a space and hit enter

Pelvic reconstruction after subtotal sacrectomy for sacral chondrosarcoma using cadaveric and vascularized fibula autograft: Technical note.
J Neurosurg Spine. 2014 Oct; 21(4):623-7.JN

Abstract

A novel method of spinopelvic ring reconstruction after partial sacrectomy for a chondrosarcoma is described. Chondrosarcoma is one of the most common primary malignant bone tumors, and en bloc resection is the mainstay of treatment. Involvement of the pelvis as well as the sacrum and lumbar spine can result in a technically difficult challenge for en bloc resection and for achievement of appropriate load-bearing reconstruction. After en bloc resection in their patient, the authors achieved reconstruction with a rod and screw construct including vascularized fibula graft as the main strut from the lumbar spine to the pelvis. Additionally, a cadaveric allograft strut was used as an adjunct for the pelvic ring. This is similar to a modified Galveston technique with vascularized fibula in place of the Galveston rods. The vascularized fibula provided appropriate biomechanical support, allowing the patient to return to independent ambulation. There was no tumor recurrence; neurological status remained stable; and the allograft construct integrated well and even increased in size on CT scans and radiographs in the course of a follow-up longer than 7 years.

Authors+Show Affiliations

Combined Neurosurgical and Orthopedic Spine Program, and.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25084027

Citation

Gillis, Christopher C., et al. "Pelvic Reconstruction After Subtotal Sacrectomy for Sacral Chondrosarcoma Using Cadaveric and Vascularized Fibula Autograft: Technical Note." Journal of Neurosurgery. Spine, vol. 21, no. 4, 2014, pp. 623-7.
Gillis CC, Street JT, Boyd MC, et al. Pelvic reconstruction after subtotal sacrectomy for sacral chondrosarcoma using cadaveric and vascularized fibula autograft: Technical note. J Neurosurg Spine. 2014;21(4):623-7.
Gillis, C. C., Street, J. T., Boyd, M. C., & Fisher, C. G. (2014). Pelvic reconstruction after subtotal sacrectomy for sacral chondrosarcoma using cadaveric and vascularized fibula autograft: Technical note. Journal of Neurosurgery. Spine, 21(4), 623-7. https://doi.org/10.3171/2014.6.SPINE13657
Gillis CC, et al. Pelvic Reconstruction After Subtotal Sacrectomy for Sacral Chondrosarcoma Using Cadaveric and Vascularized Fibula Autograft: Technical Note. J Neurosurg Spine. 2014;21(4):623-7. PubMed PMID: 25084027.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic reconstruction after subtotal sacrectomy for sacral chondrosarcoma using cadaveric and vascularized fibula autograft: Technical note. AU - Gillis,Christopher C, AU - Street,John T, AU - Boyd,Michael C, AU - Fisher,Charles G, Y1 - 2014/08/01/ PY - 2014/8/2/entrez PY - 2014/8/2/pubmed PY - 2014/12/15/medline KW - chondrosarcoma KW - sacral KW - sacrectomy KW - spine oncology KW - spinopelvic reconstruction KW - vascularized autograft SP - 623 EP - 7 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 21 IS - 4 N2 - A novel method of spinopelvic ring reconstruction after partial sacrectomy for a chondrosarcoma is described. Chondrosarcoma is one of the most common primary malignant bone tumors, and en bloc resection is the mainstay of treatment. Involvement of the pelvis as well as the sacrum and lumbar spine can result in a technically difficult challenge for en bloc resection and for achievement of appropriate load-bearing reconstruction. After en bloc resection in their patient, the authors achieved reconstruction with a rod and screw construct including vascularized fibula graft as the main strut from the lumbar spine to the pelvis. Additionally, a cadaveric allograft strut was used as an adjunct for the pelvic ring. This is similar to a modified Galveston technique with vascularized fibula in place of the Galveston rods. The vascularized fibula provided appropriate biomechanical support, allowing the patient to return to independent ambulation. There was no tumor recurrence; neurological status remained stable; and the allograft construct integrated well and even increased in size on CT scans and radiographs in the course of a follow-up longer than 7 years. SN - 1547-5646 UR - https://www.unboundmedicine.com/medline/citation/25084027/Pelvic_reconstruction_after_subtotal_sacrectomy_for_sacral_chondrosarcoma_using_cadaveric_and_vascularized_fibula_autograft:_Technical_note_ L2 - https://thejns.org/doi/10.3171/2014.6.SPINE13657 DB - PRIME DP - Unbound Medicine ER -