Sacrectomy as treatment of giant cell tumor in Dr. M. Djamil Hospital Padang: A Case Report

Abstract

Primary sacral tumors are rare, 7% of all spinal tumors. Most sacral tumors are benign aggressive lesions such as aneurysmal bone cyst, osteoblastoma, and giant cell tumor, or low-grade malignancies such as chordoma or chondrosarcoma.We report a case of Giant cell tumour of the sacrum in a female patient 59 years old noticed with pain in lower back with radiated to the left thigh with muscle weakness since 6 months. No complain about bowel habit and micturition. Coronal and sagittal non-contrast T1&T2 MRI showed destructive heterogeneous intermediate-to-high signal densities within the lesion, indicating tumor localized at S1 to coccygeus.Total sacrectomy performed with exploration and preservation of major vessels by anterior approach following spinopelvic reconstruction procedure by posterior approach. Histopathologic examinations confirmed giant cell tumor.Total gastrectomy is a complex surgical procedure that requires specialized surgical stabilization techniques to preserve mechanical support and repair walking ability. Postoperative local recurrence rate after sacral tumor resection is directly related to the scope and degree of the resection. The risk of infection increases in patients who have previously undergone lumbosacral surgery and procedures with a long operation time.1Sacral tumors treated with total/partial sacrectomy and lumbopelvic stabilization show good functional outcomes and low complication rates.