title: [Surgical treatment of the sacrum tumor].
abstract: OBJECTIVE
  To discuss the surgical methods and effects in the treatment of sacrum tumor.
  
  
  METHODS
  Fifteen patients of sacrum tumor included 12 males 3 females aged from 17 to 68 years old,mean 54.6 years. Ten cases were primary tumor and 5 were metastatic tumor. Five cases underwent anterior approach tumor extirpation, 3 posterior approach tumor extirpation and 7 posterior tumor extirpation with bone graft and internal fixation of a pedicle screw and rod system. Additionally, all cases were treated with radiotherapy or/and chemotherapy post-operatively according to the character of the tumor.
  
  
  RESULTS
  Thirteen patients were followed-up for 4 months to 5 years. One patient had exacerbation accompanying dysfunction of urinary and feca after surgery, which relieved after four months of non-operative treatments. One chordoblastoma and 2 metastatic tumor died of recurrence and metastasis 1 to 2 years after operation, respectively. And in another case of giant cell tumor occurred the local recurrence 6 months after operation, who refused secondary surgical treatment.
  
  
  CONCLUSIONS
  Individualized surgical treatment with conbination of radio therapy or/and chemotherapy will make good results for patients with sacrum tumor.
authors.affiliation: Department of Orthopaedic, First Hospital Affiliated to Anhui Medical University, Hefei 230022, Anhui, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Zong-Sheng
authors.initials: ZS
authors.lastname: Yin
authors.forename: Yong
authors.initials: Y
authors.lastname: Hu
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000473:pathology / Q000517:prevention & control / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012008:Recurrence; D012447:Sacrum / Q000473:pathology*; D016896:Treatment Outcome; D055815:Young Adult