Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note.

Gary L. Gallia, Raqeeb Haque, Ira Garonzik, Timothy F. Witham, Yevgeniy A. Khavkin, Jean Paul Wolinsky, Ian Suk, Ziya L. Gokaslan

Research output: Contribution to journalArticle

Abstract

Although radical resection prolongs the disease-free survival period, surgical management of primary sacral tumors is challenging because of their location and often large size. Moreover, in cases of lesions for which a radical resection necessitates total sacrectomy, reconstruction is required. The authors have previously described a modified Galveston technique in which a liaison between the spine and pelvis is achieved using lumbar pedicle screws and Galveston rods embedded into the ilia; additionally, a transiliac bar reestablishes the pelvic ring. Although this reconstruction technique achieves stabilization, several biomechanical limitations exist. In the present report the authors present the case of a patient who underwent spinal pelvic reconstruction after a total sacrectomy was performed to remove a giant sacral chordoma. They describe a novel spinal pelvic reconstruction technique that addresses some of the biomechanical limitations.

Original languageEnglish (US)
Pages (from-to)501-506
Number of pages6
JournalJournal of neurosurgery. Spine
Volume3
Issue number6
DOIs
StatePublished - Dec 2005

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ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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