En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach

Michelle J. Clarke, Patricia L. Zadnik, Mari Groves, Hormuzdiyar H. Dasenbrock, Daniel Sciubba, Wesley Hsu, Timothy F Witham, Ali Bydon, Ziya L. Gokaslan, Jean Paul Wolinsky

Research output: Contribution to journalArticle

Abstract

Object. Traditionally, hemisacrectomy and internal hemipelvectomy procedures have required both an anterior and a posterior approach. A posterior-only approach has the potential to complete an en bloc tumor resection and spinopelvic reconstruction while reducing surgical morbidity. Methods. The authors describe 3 cases in which en bloc resection of the hemisacrum and ilium and subsequent lumbopelvic and pelvic ring reconstruction were performed from a posterior-only approach. Two more traditional anterior and posterior staged procedures are also included for comparison. Results. In all 3 cases, an oncologically appropriate surgery and spinopelvic reconstruction were performed through a posterior-only approach. Conclusions. The advantage of a midline posterior approach is the ability to perform a lumbosacral reconstruction, necessary in cases in which the S-1 body is iatrogenically disrupted during tumor resection.

Original languageEnglish (US)
Pages (from-to)458-467
Number of pages10
JournalJournal of Neurosurgery: Spine
Volume21
Issue number3
DOIs
StatePublished - Sep 1 2014

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Hemipelvectomy
Ilium
Neoplasms
Morbidity

Keywords

  • Hemisacrectomy
  • Internal hemipelvectomy
  • Lumbosacral reconstruction
  • Posterior approach
  • Sacral

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology
  • Medicine(all)

Cite this

En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach. / Clarke, Michelle J.; Zadnik, Patricia L.; Groves, Mari; Dasenbrock, Hormuzdiyar H.; Sciubba, Daniel; Hsu, Wesley; Witham, Timothy F; Bydon, Ali; Gokaslan, Ziya L.; Wolinsky, Jean Paul.

In: Journal of Neurosurgery: Spine, Vol. 21, No. 3, 01.09.2014, p. 458-467.

Research output: Contribution to journalArticle

Clarke, Michelle J. ; Zadnik, Patricia L. ; Groves, Mari ; Dasenbrock, Hormuzdiyar H. ; Sciubba, Daniel ; Hsu, Wesley ; Witham, Timothy F ; Bydon, Ali ; Gokaslan, Ziya L. ; Wolinsky, Jean Paul. / En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach. In: Journal of Neurosurgery: Spine. 2014 ; Vol. 21, No. 3. pp. 458-467.
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AU - Clarke, Michelle J.

AU - Zadnik, Patricia L.

AU - Groves, Mari

AU - Dasenbrock, Hormuzdiyar H.

AU - Sciubba, Daniel

AU - Hsu, Wesley

AU - Witham, Timothy F

AU - Bydon, Ali

AU - Gokaslan, Ziya L.

AU - Wolinsky, Jean Paul

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KW - Posterior approach

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