Lumbopelvic reconstruction after combined L5 spondylectomy and total sacrectomy for en bloc resection of a malignant fibrous histiocytoma

Neurosurgery
Gary L GalliaZ L Gokaslan

Abstract

Primary sacral neoplasms that extend superiorly to involve the distal lumbar spine represent complex surgical problems. Treatment options for these patients are often limited to hemicorporectomy. To detail our surgical technique for en bloc resection of a sarcoma involving the L5 vertebral segment and sacrum and the reconstruction of the lumbopelvic junction. A 52-year-old woman presented with intractable pain secondary to a sarcoma involving the L5 vertebral segment and sacrum. She underwent a combined L5 spondylectomy and total sacrectomy for en bloc resection of her neoplasm. A novel lumbopelvic reconstruction technique was used to establish a liaison between the lumbar spine and pelvis. Operative complications included a venous vascular injury and a nonviable myocutaneous flap. Postoperatively, the patient had complete resolution of her pain. Unfortunately, the patient developed metastatic disease and died 5 months after her initial surgical procedure. We describe a patient who underwent a combined L5 spondylectomy and total sacrectomy for en bloc resection of a lumbosacral sarcoma. Additionally, we report a novel technique to reconstruct the lumbopelvic junction. The operative procedures are detailed with the aid of radiog...Continue Reading

References

Dec 11, 1991·Journal of Surgical Oncology·K P BethkeW Lawrence
Nov 1, 1990·Spine·K Tomita, H Tsuchiya
Mar 1, 1995·The Journal of Bone and Joint Surgery. American Volume·A H SimpsonR S Bell
Nov 5, 1997·Journal of Neurosurgery·Z L GokaslanM E Leavens
Jan 23, 1999·Neurosurgery·J E YorkZ L Gokaslan
Jul 3, 1999·The Journal of Bone and Joint Surgery. American Volume·D A SpiegelJ M Harrelson
Jan 1, 2000·Journal of Neurosurgery·R J Jackson, Z L Gokaslan
Mar 1, 2000·Journal of Surgical Oncology·J M Weaver, M B Flynn
May 16, 2000·Plastic and Reconstructive Surgery·D W ChangG L Robb
Dec 29, 2000·Clinical Orthopaedics and Related Research·P WuismanM van Dijk
Aug 5, 2003·Spine·Minoru DoitaMasahiro Kurosaka
Mar 12, 2004·Spine·Norihide OhataHajime Inoue
Sep 8, 2004·Neurosurgical Focus·Ho-Yeol ZhangDaniel H Kim
Apr 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Kan MinGerhard U Exner
Sep 1, 2005·Clinical Orthopaedics and Related Research·Ian D DickeyFranklin H Sim
Dec 24, 2005·Journal of Neurosurgery. Spine·Daryl R FourneyZiya L Gokaslan

❮ Previous
Next ❯

Citations

Apr 6, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sathya ThambirajBronek M Boszczyk
Apr 6, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rahul Vaidya
Oct 24, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·S Samuel BedermanNitin N Bhatia
Jul 21, 2011·Neurosurgery·Hormuzdiyar H DasenbrockJean-Paul Wolinsky
Sep 23, 2011·Neurosurgery·Daniel M SciubbaJean-Paul Wolinsky
May 10, 2012·Neurosurgery·Michelle J ClarkeJean-Paul Wolinsky
Nov 16, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ran WeiHaijie Liang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved