The extended posterior approach for resection of sacral tumours

Mohanty, SP and Pai, Madhava K and Kundangar, Raghuraj (2019) The extended posterior approach for resection of sacral tumours. European Spine Journal, 28. pp. 1461-1467. ISSN 1432-0932

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Purpose: The conventional posterior approach is mostly advocated for excision of sacral tumours below S2. We describe an operative technique of single-stage en bloc resection of sacral tumours, extending up to S1, through an extended posterior approach. Method: Nine patients, who had undergone resection of sacral tumours, by the described technique formed the basis of this study. Four patients had chordomas, whereas schwannoma, neurilemmoma, giant-cell tumour, malignant paraganglioma and recurrent Ewing’s sarcoma were seen in one patient each. They were followed up at regular intervals with a mean follow-up of 45.4 months. Perioperative complications, their functional and oncological outcomes at fnal follow-up were analysed. Result: None of the patients had any perioperative complications like uncontrolled haemorrhage, injury to the rectum, deep vein thrombosis or pulmonary embolism. One patient had a superfcial wound infection which subsided with regular dressing, and another patient developed a wound breakdown that required an additional fap procedure. At fnal follow-up, six patients were able to walk without any assistive devices, six patients had normal bladder function, and fve patients had normal bowel function. Five patients did not have any recurrence at fnal follow-up, whereas two were alive with the disease and two had died. Conclusion: The reported technique allows en bloc resection of sacral tumours up to S1, through a posterior-only approach. It is less invasive with minimal morbidity. The functional and oncological outcomes are similar to those reported by other investigators. Graphical abstract These slides can be retrieved from electronic supplementary material.

Item Type: Article
Uncontrolled Keywords: Sacral tumours ; Surgical resection ; Posterior approach.
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 15 Oct 2020 06:25
Last Modified: 15 Oct 2020 06:25

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