UMass Chan Affiliations
Department of Orthopedics and Physical RehabilitationDocument Type
Journal ArticlePublication Date
2009-06-01Keywords
SpinePelvis
Surgical Procedures, Operative
Spinal Neoplasms
Bone Neoplasms
Orthopedics
Rehabilitation and Therapy
Metadata
Show full item recordAbstract
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 websiteDOI
10.1053/j.semss.2009.03.009Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43062ae974a485f413a2113503eed53cd6c53
10.1053/j.semss.2009.03.009