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学科主题临床医学
One-Stage Total En Bloc Sacrectomy A Novel Technique and Report of 9 Cases
Guo, Wei; Tang, Xiaodong; Zang, Jie; Ji, Tao
关键词total en bloc sacrectomy sacrum tumor 1-stage
刊名SPINE
2013-05-01
DOI10.1097/BRS.0b013e31828b7045
38期:10页:E626-E631
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]SACRAL CHORDOMA ; RECONSTRUCTION ; OSTEOSARCOMA ; RESECTION ; SPINE ; EXPERIENCE ; TUMORS
英文摘要

Study Design. Nine patients with malignant sacral tumor underwent 1-stage total sacrectomy. The oncological and functional results are analyzed.

Objective. To describe the surgical technique and evaluate the clinical outcome of the surgery.

Summary of Background Data. Very few reports specifically address total sacrectomy, and the 2-stage procedure combining the anterior and posterior approach is the most common method used for treatment.

Methods. Between July 2007 and July 2010, 9 patients (7 males, 2 females; mean age, 33 yr; range, 13-59 yr) with malignant sacral tumor underwent 1-stage total sacrectomy the Peking University People′s Hospital. The pathological diagnosis was chordoma in 3 patients, osteosarcoma in 2, chondrosarcoma in 2, malignant schwannoma in 1, and Ewing sarcoma in 1.

Results. Oncological results: All 9 patients were followed-up for 11 to 35 months (mean follow-up time, 19.7 mo). Local recurrence was detected in the right ilium in the patient with Ewing sarcoma at 7 months after surgery, and locally in another patient with osteosarcoma at 3 months after surgery. The recurrent lesion in the right ilium was widely resected in the patient with Ewing sarcoma and no new lesion was found at the last follow-up, but this patient died of the lung metastases. The local recurrent lesion in the patient with osteosarcoma was treated with adjuvant chemotherapy and local radiation. Functional result: The S1 nerve root was cut bilaterally in 8 patients during surgery, resulting in the loss of foot plantar flexion. The 5 lumbar vertebrae were also resected with the sacrum in 1 patient, but the bilateral L5 nerve roots were preserved, and dorsiflexion was maintained in this patient.

Conclusion. Total sacrectomy can be performed successfully using a 1-stage combined anterior and posterior approach and is an important procedure for the treatment of primary malignant tumor involving the top portion of or the whole sacrum.

语种英语
WOS记录号WOS:000318401900009
引用统计
被引频次:11[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60358
专题北京大学第二临床医学院_骨肿瘤科
作者单位Peking Univ, Peoples Hosp, Musculoskeletal Tumor Ctr, Beijing 100044, Peoples R China
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GB/T 7714
Guo, Wei,Tang, Xiaodong,Zang, Jie,et al. One-Stage Total En Bloc Sacrectomy A Novel Technique and Report of 9 Cases[J]. SPINE,2013,38(10):E626-E631.
APA Guo, Wei,Tang, Xiaodong,Zang, Jie,&Ji, Tao.(2013).One-Stage Total En Bloc Sacrectomy A Novel Technique and Report of 9 Cases.SPINE,38(10),E626-E631.
MLA Guo, Wei,et al."One-Stage Total En Bloc Sacrectomy A Novel Technique and Report of 9 Cases".SPINE 38.10(2013):E626-E631.
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