Functional reconstruction of the pelvic ring with simultaneous bilateral free fibular flaps following total sacral resection.
The treatment of large sacral tumors involving the pelvis is challenging and may require radical resection. Sacral resection disrupts the continuity between the spine and pelvis, resulting in loss of skeletal support for weight bearing. Without pelvic reconstruction, patients remain nonambulatory. This report describes a case of functional pelvic ring reconstruction utilizing bilateral simultaneous free fibular flaps following radical sacrectomy. Vascularized free fibular grafts may be used to restore pelvic continuity for cases involving total sacral resection.
Choudry
Umar H
UH
Mayo Clinic, Rochester, MN 55905, USA.
Moran
Steven L
SL
Karacor
Zeynep
Z
D016025:Bone Transplantation; D004806:Ependymoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018365:Neoplasm, Residual / Q000601:surgery*; D010384:Pelvic Bones / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012447:Sacrum / Q000601:surgery*; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed