Seminars in Spine Surgery
Volume 21, Issue 2 , Pages 99-105 , June 2009

Sacrectomy and Spinopelvic Reconstruction

  • Jason C. Eck, DO, MS

      Affiliations

    • Department of Orthopedics and Physical Rehabilitation, University of Massachusetts, Worcester, MA
    • Corresponding Author InformationAddress reprint requests to Jason C. Eck, DO, MS, Department of Orthopedics and Physical Rehabilitation, University of Massachusetts, 119 Belmont St., Worcester, MA 01605
    • ,
  • Michael J. Yaszemski, MD, PhD

      Affiliations

    • Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
    • Department of Biomedical Engineering, Mayo Clinic, Rochester, MN
    • ,
  • Franklin H. Sim, MD

      Affiliations

    • Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN

References 

  1. Nakai S, Yoshizawa H, Kobayaski S, et al. Anorectal and bladder function after sacrifice of the sacral nerves. Spine. 2000;25:2234–2239
  2. Gunterberg B, Norlen L, Stener B, et al. Neurologic evaluation after resection of the sacrum. Invest Urol. 1975;13:183–188
  3. Gunterberg B, Kewenter J, Petersen I, et al. Anorectal function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves. Br J Surg. 1976;63:546–554
  4. Gunterberg B, Petersen I. Sexual function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves. Fertil Steril. 1976;27:1146–1153
  5. Todd LT, Yaszemski MJ, Currier BL, et al. Bowel and bladder function after major sacral resection. Clin Orthop Relat Res. 2002;397:36–39
  6. Gunterberg B, Romanus B, Stener B. Pelvic strength after major amputation of the sacrum (An experimental study). Acta Orthop Scand. 1976;47:635–642
  7. Hugate RR, Dickey ID, Phimolsarnti R, et al. Mechanical effects of partial sacrectomy (When is reconstruction necessary?). Clin Orthop Relat Res. 2006;450:82–88
  8. Dickey ID, Hugate RR, Fuchs B, et al. Reconstruction after total sacrectomy (Early experience with a new surgical technique). Clin Orthop Relat Res. 2005;438:42–50
  9. Glatt BS, Disa JJ, Mehrara BJ, et al. Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap. Ann Plast Surg. 2006;56:526–531
  10. Miles WK, Chang DW, Kroll SS, et al. Reconstruction of large sacral defects following total sacrectomy. Plast Reconstr Surg. 2000;105:2387–2394
  11. Shikata J, Yamamuro T, Kotoura Y, et al. Total sacrectomy and reconstruction for primary tumors (Report of two cases). J Bone Joint Surg. 1988;70A:122–125
  12. Tomita K, Tsuchiya H. Total sacrectomy and reconstruction for huge sacral tumors. Spine. 1990;15:1223–1227
  13. Allen BL, Ferguson RL. The Galveston technique for L rod instrumentation of the scoliotic spine. Spine. 1982;7:276–284
  14. Gokaslan ZL, Romsdahl MM, Kroll SS, et al. Total sacrectomy and Galveston L-rod reconstruction for malignant neoplasms (Technical note). J Neurosurg. 1997;87:781–787
  15. Jackson RJ, Gokaslan ZL. Spinal-pelvic fixation in patients with lumbosacral neoplasms. J Neurosurg. 2000;92(suppl):61–70
  16. Gallia GL, Haque R, Garonzik I, et al. Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. J Neurosurg Spine. 2005;3:501–506
  17. Min K, Espinosa N, Bode B, et al. Total sacrectomy and reconstruction with structural allografts for neurofibrosarcoma of the sacrum. J Bone Joint Surg. 2005;87A:864–869
  18. Shen FH, Harper M, Foster WC, et al. A novel “four-rod technique” for lumbopelvic reconstruction: theory and technical considerations. Spine. 2006;31:1395–1401
  19. Kelly BP, Shen FH, Schwab JS, et al. Biomechanical testing of a novel four-rod technique for lumbopelvic reconstruction. Spine. 2008;33:E400–E406

PII: S1040-7383(09)00019-7

doi: 10.1053/j.semss.2009.03.009

Seminars in Spine Surgery
Volume 21, Issue 2 , Pages 99-105 , June 2009

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