En bloc sacrectomy and reconstruction: technique modification for pelvic fixation

Locomotor Biomechanics After Total Sacrectomy

“…[1][2][3][4][5] The purpose of this study was to quantify neuromuscular function and locomotor biomechanics in a young patient after successful total en bloc sacrectomy for excision of an osteogenic sarcoma with spinopelvic reconstruction. The sacrum is the cornerstone in the connection of the spine to the pelvis and lower extremities.…”

Reconstructive surgery using dual U-shaped rod instrumentation after posterior en bloc sacral hemiresection for metastatic tumor: case report

“…Occasionally, the incision extends bilaterally to the gluteal region, and has a Y or triangle shape or other complicated forms. 7,12,17 These methods can result in wound dehiscence or necrosis that may require a second surgery. 15 In addition, the skin around the coccyx is very thin and is vulnerable to decubitus ulcer formation.…”

Sacral gigantocellular tumor treated with total sacrectomy and spinal-pelvic fixation

“…Nekorišćenje transverzalne, transilijačne šipke omogućava da se ilijačne kosti koje su otvorene i nefiksirane sa zadnje strane, razdvoje lateralno i anteriorno prema, popularno nazvanom, principu "otvorene knjige". Primenjena modifikovana Galveston tehnika za rekonstrukciju nakon totalne sakrektomije predstavlja unapređenje svih ranije navedenih tehnika 17 . Svaka Galveston šipka formira jedinstven most između lumbalnog dela kičme i ilijačne kosti, a transilijačna šipka kompletira i zatvara, operacijom otvoren, karlični prsten.…”