Posterior-only approach for en bloc sacrectomy: clinical outcomes in 36 consecutive patients

Neurosurgery
Michelle J ClarkeJean-Paul Wolinsky

Abstract

En bloc resection of primary sacral tumors has a demonstrated survival benefit. Total and high sacral amputations are traditionally performed by using a staged anterior and subsequent posterior approach. However, we have found that en bloc resection and biomechanical reconstruction of the spinal column is possible from a posterior-only approach in many cases. To assess our series of posterior-only sacrectomies, emphasizing postoperative complications and overall surgical and oncologic outcome. Sixty-nine consecutive patients underwent sacral resections for tumor at our institution between 2004 and 2009. Medical records of all patients were reviewed, and patients were excluded if they had an intentional intralesional resection, hemipelvectomy, or a previous operation. The records of the resulting 36 consecutive patients who underwent primary posterior-only en bloc sacral resections were retrospectively reviewed. Of the posterior-only patients, all underwent midline posterior approaches for en bloc sacral resection. Sacral amputation was defined by the by sacral root preservation: total (2 cases), high (8 cases), middle (9 cases), low (12 cases), and distal (5 cases). Chordoma was the most common tumor type (30 cases), and surgic...Continue Reading

References

Nov 1, 1990·Spine·K Tomita, H Tsuchiya
Mar 1, 1988·Journal of Surgical Oncology·A AzzarelliL Gennari
Sep 1, 1967·Annals of Surgery·S A LocalioP G Rossano
Jul 1, 1984·American Journal of Surgery·J F HuthF R Eilber
Mar 1, 1994·The British Journal of Surgery·K M AnsonA C Montgomery
Jan 23, 1999·Neurosurgery·J E YorkZ L Gokaslan
Apr 14, 1999·The British Journal of Surgery·E RadiceL Gunderson
Jul 21, 1999·Journal of Neurosurgery·J E YorkZ L Gokaslan
Jun 14, 2000·Plastic and Reconstructive Surgery·W K MilesG L Robb
Jul 29, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K JungeV Schumpelick
Aug 5, 2003·Annals of Plastic Surgery·Jose DiazSeth Thaller
Jun 24, 2004·Annals of Plastic Surgery·Poh-Koon KohKok-Chai Tan
Sep 8, 2004·Neurosurgical Focus·Daryl R Fourney, Ziya L Gokaslan
Jun 9, 2005·Ophthalmic Plastic and Reconstructive Surgery·Onur KonukMehmet Unal
Oct 6, 2005·The Journal of Bone and Joint Surgery. American Volume·Bruno FuchsFranklin H Sim
Dec 24, 2005·Journal of Neurosurgery. Spine·Daryl R FourneyZiya L Gokaslan
Jun 8, 2006·International Journal of Radiation Oncology, Biology, Physics·Lily ParkHerman D Suit
Jul 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Christopher A HulenFrank J Eismont
Dec 25, 2007·Neurosurgery Clinics of North America·Daniel M SciubbaZiya L Gokaslan
Dec 25, 2007·Neurosurgery Clinics of North America·Gregory S McLoughlinJean-Paul Wolinsky
Dec 25, 2007·Neurosurgery Clinics of North America·John H ChiZiya L Gokaslan
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Pariwat Thaisetthawatkul
Jul 22, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D Di MauroR Hierner
Nov 28, 2008·Journal of Neurosurgery. Spine·Daniel M SciubbaZiya L Gokaslan
Jun 9, 2009·Diseases of the Colon and Rectum·Chucheep SahakitrungruangArun Rojanasakul
Nov 17, 2009·Spine·Joseph H SchwabPatrick J Boland
Jul 21, 2010·Neurosurgery·William Anderson

❮ Previous
Next ❯

Citations

May 27, 2014·Neuro-Chirurgie·B GeorgeK Beccaria
Sep 12, 2014·Annals of Oncology : Official Journal of the European Society for Medical Oncology·UNKNOWN ESMO/European Sarcoma Network Working Group
Jun 14, 2014·Journal of Neurosurgery. Spine·Michelle J ClarkeJean-Paul Wolinsky
Jan 29, 2014·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·Arnaud DuboryCharles Court
Jan 29, 2016·Current Treatment Options in Oncology·Raphaële Charest-MorinCharles G Fisher
Feb 26, 2016·Clinical Orthopaedics and Related Research·Piya KiatiseviBhasanan Sukunthanak
Mar 5, 2016·Journal of Neurosurgery. Spine·Mark B DekutoskiUNKNOWN AOSpine Knowledge Forum Tumor
Apr 29, 2014·Neurological Research·Peter Paul VargaAron Lazary
Apr 29, 2014·Neurological Research·Peter Paul VargaAron Lazary
Dec 30, 2014·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·J J VerlaanF C Oner
Sep 10, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Rapin Phimolsarnti, Saranatra Waikakul
Mar 31, 2015·Journal of Neurosurgery. Spine·Jennifer E KimJustin M Sacks
Mar 31, 2015·Journal of Neurosurgery. Spine·Mohamad BydonZiya L Gokaslan
Feb 16, 2015·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·Carmine ZoccaliAli A Baaj
Feb 2, 2015·The Lancet Oncology·Silvia StacchiottiUNKNOWN Chordoma Global Consensus Group
Aug 25, 2018·Journal of Neurosurgery. Pediatrics·Zahid Hussain KhanSeyed Amir Javadi
Oct 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Joseph H SchwabFrancis J Hornicek
May 30, 2019·JBJS Case Connector·Pramod S ChinderUtkarsh Pal
Dec 19, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A S E McCarthyD Steffens
Feb 26, 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·Carmine ZoccaliAli A Baaj
Sep 23, 2020·JBJS Reviews·Peter S Rose, Matthew T Houdek
Mar 29, 2014·Cancer Control : Journal of the Moffitt Cancer Center·Michelle J ClarkeFrank D Vrionis
May 8, 2018·Neurosurgical Review·Hui-Hui SunXiao-Tao Wu
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Emma D VartanianAlex K Wong
Dec 24, 2018·Medicine·Qiang XuBin Zhang
Aug 29, 2020·World Journal of Surgical Oncology·Pongsthorn ChanplakornWichien Laohacharoensombat
Mar 29, 2014·Cancer Control : Journal of the Moffitt Cancer Center·Michelle J Clarke, Frank D Vrionis
Nov 8, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Yariv Stabholz, Jaspreet S Sandhu
Jan 1, 2021·Yonsei Medical Journal·Kwang Ryeol KimSung Uk Kuh
Apr 4, 2021·Journal of Clinical Medicine·Sean M BarberZiya L Gokaslan
May 18, 2021·The Spine Journal : Official Journal of the North American Spine Society·James FeghaliDaniel M Sciubba
Jun 9, 2018·World Neurosurgery·Marcus StephensNoojan Kazemi

❮ 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.