title: Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note.
abstract: Although radical resection prolongs the disease-free survival period, surgical management of primary sacral tumors is challenging because of their location and often large size. Moreover, in cases of lesions for which a radical resection necessitates total sacrectomy, reconstruction is required. The authors have previously described a modified Galveston technique in which a liaison between the spine and pelvis is achieved using lumbar pedicle screws and Galveston rods embedded into the ilia; additionally, a transiliac bar reestablishes the pelvic ring. Although this reconstruction technique achieves stabilization, several biomechanical limitations exist. In the present report the authors present the case of a patient who underwent spinal pelvic reconstruction after a total sacrectomy was performed to remove a giant sacral chordoma. They describe a novel spinal pelvic reconstruction technique that addresses some of the biomechanical limitations.
authors.affiliation: Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland 21287-7713, USA.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Gallia
authors.forename: Raqeeb
authors.initials: R
authors.lastname: Haque
authors.forename: Ira
authors.initials: I
authors.lastname: Garonzik
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Witham
authors.forename: Yevgeniy A
authors.initials: YA
authors.lastname: Khavkin
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Wolinsky
authors.forename: Ian
authors.initials: I
authors.lastname: Suk
authors.forename: Ziya L
authors.initials: ZL
authors.lastname: Gokaslan
mesh_terms: D001696:Biomechanical Phenomena; D001858:Bone Nails; D001863:Bone Screws; D002817:Chordoma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D010388:Pelvis / Q000033:anatomy & histology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012447:Sacrum / Q000601:surgery; D013125:Spinal Neoplasms / Q000601:surgery*