title: Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review.
abstract: BACKGROUND
  Sacrectomy remains a technically complex procedure for resection of malignant pelvic neoplasia. Commonly, postoperative complications include permanent neurological deficits. Only a few studies have reported the long-term functional outcomes of patients who had undergone sacrectomy.
  
  
  METHODS
  We previously reported on the utilization of complete sacrectomy and lumbopelvic reconstruction for the management of primary myofibroblastic sarcoma of the sacrum and ilium in a 15-year-old female patient. In this report, we update her postoperative course with an additional 5 years of follow-up and Health-Related Quality of Life (HRQoL) outcomes. During this time period, she gave birth to two healthy full-term babies.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first report of pregnancy after total sacrectomy and lumbopelvic reconstruction. We outline some of the challenges in the obstetrical management of this patient.
authors.affiliation: Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX, 77030, USA. barsan@bcm.edu.
authors.forename: Valentin V
authors.initials: VV
authors.lastname: Barsan
authors.affiliation: Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX, 77030, USA. vxbricen@texaschildrens.org.
authors.forename: Valentina
authors.initials: V
authors.lastname: Briceño
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX, 77030, USA. manishag@bcm.edu.
authors.forename: Manisha
authors.initials: M
authors.lastname: Gandhi
authors.affiliation: Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX, 77030, USA. ahjea@texaschildrens.org.
authors.forename: Andrew
authors.initials: A
authors.lastname: Jea
mesh_terms: D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium; D050498:Live Birth; D008159:Lumbar Vertebrae / Q000601:surgery*; D009217:Myosarcoma / Q000601:surgery; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000379:methods; D011184:Postoperative Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D012447:Sacrum / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery; D013995:Time