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    Sacrectomy and Spinopelvic Reconstruction

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    Authors
    Eck, Jason C.
    Yaszemski, Michael J.
    Sim, Franklin H.
    UMass Chan Affiliations
    Department of Orthopedics and Physical Rehabilitation
    Document Type
    Journal Article
    Publication Date
    2009-06-01
    Keywords
    Spine
    Pelvis
    Surgical Procedures, Operative
    Spinal Neoplasms
    Bone Neoplasms
    Orthopedics
    Rehabilitation and Therapy
    
    Metadata
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    Link to Full Text
    http://dx.doi.org/10.1053/j.semss.2009.03.009
    Abstract
    Patients with malignant lumbosacral pelvic lesions present a difficult surgical challenge. Because of the insidious onset of symptoms, lesions are often diagnosed late in their course, and by that time they have attained a large size. Surgical resection is made more difficult by the complex surrounding anatomy and involvement of the sacral nerves responsible for bowel, bladder, and sexual function. Spinopelvic reconstruction is often required after resection. This article presents techniques for sacral resection and subsequent spinopelvic reconstruction. Biomechanical studies are summarized on construct stability, and recommendations are made as to when reconstruction is required. The expected bowel and bladder functional outcomes are summarized, based on the level of sacral resection.
    Source
    Eck JC, Yaszemski MJ, Sim FH. Sacrectomy and Spinopelvic Reconstruction. Semin Spine Surg. 2009 21(2): 99-105. Link to article on publisher's website
    DOI
    10.1053/j.semss.2009.03.009
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43062
    ae974a485f413a2113503eed53cd6c53
    10.1053/j.semss.2009.03.009
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications
    Orthopedics and Physical Rehabilitation Publications

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