Neurofibrosarcoma is rare in the pediatric age group. A malignant tumor of the sacrum presents significant challenges, especially if the goals are to resect with wide and clean surgical margins and to achieve acceptable functional outcomes. The authors report a case of this rare tumor affecting the sacrum and sacral nerve roots of a 7-year-old girl and review the role of total hemisacrectomy sparing the contralateral sacral nerve roots and lumbopelvic reconstruction in the treatment of this disease. This patient is, to the best of the authors' knowledge, the youngest to be treated in this manner.
Although research has been conducted on the risks and effects of juvenile sexual assault, there is a gap in our knowledge surrounding juvenile sexual assault and how the law discusses victims. The goal of this endeavor is to provide a systematic summary of juvenile sexual assault statutes in the United States of America. In pursuit of this objective, a content analysis of the sexual assault and consent state laws of the United States of America was performed. Four themes emerged, including laws that sought to (1) conceptualize juvenile sexual assault victimization, (2) offer evidentiary standards in juvenile sexual assault cases, (3) assess the seriousness and punishment of juvenile sexual assault, and (4) provide services for juveniles who have been sexually victimized. Within these themes, legislation was inconsistent from one state to another. From these findings, however, we encourage legislative bodies to offer greater specificity in their laws, re-assess the seriousness of this phenomenon, and express greater support for victims of child sexual assault.
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