title: Sacral resection and reconstruction for tumors and tumor-like conditions.
abstract: Sacrectomy is intended to resect aggressive local and life-threatening disease. Reconstruction can be difficult. This article reports on the use of sacrectomy for tumor and tumor-like conditions. Procedures included 9 partial, 7 subtotal, 7 hemi-, and 4 total sacrectomies. Of 22 patients with primary malignant disease, 64% were alive without evidence of disease. The local recurrence rate was 27%. Thirty-two percent developed metastatic disease and 32% died from progressive disease. The complication rate was 33%. Tumor control was achieved in 73%. Postoperative complications occurred in 33%. Sacral resection remains a challenging operation.
authors.affiliation: Sarcoma Services, Department of Orthopedics, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
authors.forename: R Lor
authors.initials: RL
authors.lastname: Randall
authors.forename: James
authors.initials: J
authors.lastname: Bruckner
authors.forename: Chris
authors.initials: C
authors.lastname: Lloyd
authors.forename: Timothy H
authors.initials: TH
authors.lastname: Pohlman
authors.forename: Ernest U
authors.initials: EU
authors.lastname: Conrad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002813:Chondrosarcoma / Q000601:surgery; D002817:Chordoma / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D009369:Neoplasms / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D012516:Osteosarcoma / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery*; D012512:Sarcoma, Ewing / Q000601:surgery; D016019:Survival Analysis; D016896:Treatment Outcome