1. Sacroplasty Augmentation of Instrumented Pelvic Reconstruction After High Sacrectomy: A Technical Case Report
- Author
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Daniel M. Sciubba, Sheng Fu L. Lo, Ian Suk, Daniel Lubelski, Sutipat Pairojboriboon, Robin Yang, and Amanda N. Sacino
- Subjects
Solitary fibrous tumor ,medicine.medical_specialty ,Sacrum ,Pelvis ,03 medical and health sciences ,0302 clinical medicine ,Pelvic ring ,Early ambulation ,Medicine ,Humans ,030222 orthopedics ,Spinal Neoplasms ,business.industry ,En bloc resection ,Plastic Surgery Procedures ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Mechanical stability ,Neurology (clinical) ,Presentation (obstetrics) ,Neoplasm Recurrence, Local ,Range of motion ,business ,030217 neurology & neurosurgery - Abstract
Background and importance En bloc resection of sacral tumors is the most effective treatment to help prevent recurrence. Sacrectomy, however, can be destabilizing, depending on the extent of resection. Various surgical techniques for improving stability and enabling early ambulation have been proposed. Clinical presentation Here, we report a case in which we use PMMA (poly[methyl methacrylate]) to augment pelvic instrumentation to improve mechanical stability after sacrectomy for en bloc resection of a solitary fibrous tumor. Conclusion We highlight the use of sacroplasty augmentation of pelvic ring reconstruction to provide biomechanical stability without the need for fusion of any mobile spine segments, which allowed for early patient ambulation and no appreciable loss of range of motion or mobility.
- Published
- 2021