Lumbosacropelvic junction reconstruction resulting in early ambulation for patients with lumbosacral neoplasms or osteomyelitis.
Lumbosacropelvic junction instability may result from a variety of disease processes including primary and metastatic sacral tumors and degenerative disease. Regardless of the origin of the disease, restoring or maintaining spinal stability at this junction is essential for normal translation of axial forces from the lumbar spine and sacrum to the pelvis. Spinal stability is also critical for maintaining structural integrity, preventing neurological function deterioration, and alleviating resultant mechanical or axial pain. In this report, the authors describe one option for safe and effective spinal pelvic stabilization by using a transiliac rod and iliac bolt construct, which results in early postoperative ambulation, preserved neurological function, and reduced axial pain in selected patients.
Mindea
Stefan A
SA
Department of Neurological Surgery, The Feinberg School of Medicine and McGaw Medical Center, Northwestern University, Chicago, Illinois 60611, USA.
Salehi
Sean A
SA
Ganju
Aruna
A
Rosner
Michael K
MK
O'Shaughnessy
Brian A
BA
Jorge
Allan
A
Ondra
Stephen L
SL
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery; D000328:Adult; D003131:Combined Modality Therapy; D019299:Decompression, Surgical / Q000379:methods; D004621:Embolization, Therapeutic; D004868:Equipment Failure; D005260:Female; D005354:Fibrosarcoma / Q000556:secondary / Q000601:surgery; D018212:Giant Cell Tumor of Bone / Q000601:surgery / Q000628:therapy; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000601:surgery*; D008161:Lumbosacral Region / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009378:Neoplasms, Multiple Primary; D010019:Osteomyelitis / Q000601:surgery*; D010235:Paraganglioma / Q000556:secondary / Q000601:surgery / Q000628:therapy; D010384:Pelvic Bones / Q000601:surgery*; D011788:Quality of Life; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery*; D013122:Spinal Diseases / Q000601:surgery*; D013125:Spinal Neoplasms / Q000473:pathology / Q000534:rehabilitation / Q000556:secondary* / Q000601:surgery* / Q000628:therapy; D014594:Uterine Neoplasms / Q000532:radiotherapy; D016138:Walking