Surgical management of pelvic primary bone tumors involving the sacroiliac joint

Sabourin, M.; Biau, David; Babinet, Antoine; Dumaine, Valérie; Toméno, B; Anract, Philippe

doi:10.1016/j.otsr.2009.04.008

Cited by 44 publications

(71 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Second, the complication rate in this series was high. The complication rate was similar to complication rates for pelvic surgery and reconstructions that have been reported in the literature, with some reporting the complication rates ranging from 40% to 75% [2,14]. Third, we noted a high incidence of pseudarthrosis at the sacral site.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Surgical Technique: Iliosacral Reconstruction With Minimal Spinal Instrumentation

Nassif

Buchowski

Osterman

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 85%

“…They attributed the higher incidence of complications and difficulty with ambulation to the lack of abductor function. Sabourin et al [14] followed 24 patients with tumors affecting the sacroiliac joint for a mean of 4.8 years. They used spinal instrumentation along with nonvascularized iliac autograft, tibial autograft, or allograft.…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique: Iliosacral Reconstruction With Minimal Spinal Instrumentation

Nassif

Buchowski

Osterman

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…In contrast, in another observational study of 60 patients, the average number of transfused units was 5.2; however, these patients underwent preoperative tumor embolization [140]. It is important to note that the highest number of PRBCs transfused was in patients undergoing hemisacrectomies, with 75% of them receiving 10 or more units of blood [134,139]. Thus, massive blood transfusions are common in patients undergoing sacrectomies.…”

Section: Oncological Spine and Sacral Surgerymentioning

confidence: 94%

“…Morbidity after sacral tumor resection remains high [44,134]. In a large series of patients, Fourney et al reported a 30-day complication rate of 61%.…”

Section: Oncological Spine and Sacral Surgerymentioning

confidence: 99%

“…Two retrospective studies including 19 and 24 patients reported that the average number of PRBCs transfused intraoperatively was 10.2 units and 11.5 units, respectively, with a maximum amount of 43 transfused units in one of the studies [134,141]. In contrast, in another observational study of 60 patients, the average number of transfused units was 5.2; however, these patients underwent preoperative tumor embolization [140].…”

Section: Oncological Spine and Sacral Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Blood Loss and Massive Transfusion in Patients Undergoing Major Oncological Surgery: What Do We Know?

Cata

Gottumukkala

2012

ISRN Anesthesiology

View full text Add to dashboard Cite

Patients with solid malignancies who were not candidates for tumor resections in the past are now presenting for extensive oncological resections. Cancer patients are at risk for thromboembolic complications due to an underlying hypercoagulable state; however, some patients may have an increased risk for bleeding due to the effects of chemotherapy, the administration of anticoagulant drugs, tumor-related fibrinolysis, tumor location, tumor vascularity, and extent of disease. A common potential complication of all complex oncological surgeries is massive intra-and postoperative hemorrhage and the subsequent risk for massive blood transfusion. This can be anticipated or unexpected. Several surgical and anesthesia interventions including preoperative tumor embolization, major vessel occlusion, hemodynamic manipulation, and perioperative antifibrinolytic therapy have been used to prevent or control blood loss with varying success. The exact incidence of massive blood transfusion in oncological surgery is largely unknown and/or underreported. The current literature mostly consists of purely descriptive observational studies. Thus, recommendation regarding specific perioperative intervention cannot be made at this point, and more research is warranted.

show abstract

Sacroiliac joint cut accuracy: Comparing new technologies in an idealized sawbones model

Siegel

Balach

Sweeney

et al. 2020

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background and Objectives: The anatomical complexity of the pelvis creates challenges for orthopaedic oncologists to accurately and safely resect tumors involving the sacroiliac joint. Current technology may help overcome these obstacles. Methods: Four fellowship-trained orthopaedic oncologists performed 22 all-posterior sacroiliac cuts using freehand, computerized navigation, and patient-specific cutting guides on a Sawbones male pelvis model. Cut accuracies to preoperative planned margins were analyzed via a high-resolution optical scanner. Soft tissue damage was determined by visually inspecting the Sawbones foam placed on the far side of the cut. Results: Within 5 mm of the margins, the freehand technique resulted in 67.0% cut accuracy, the navigation technique had 71.1%, and the patient-specific cutting guide technique had 85.6% (P = .093). Within 2 mm, the techniques showed an accuracy of 25.8%, 32.5%, and 47.5%, respectively (P = .022). Regarding soft tissue damage, the freehand technique exhibited minimal penetration damage for 16.7% of the cuts, while navigation and patient-specific guide techniques exhibited 25.0% and 75.0%, respectively (P = .046). Years of surgical experience of the operator (1-7) did not influence the cut accuracy for any method. Conclusions: Under ideal conditions, patient-specific guide technology possesses the same or better accuracy as other cutting techniques as well as the circumvention of soft tissue damage.

show abstract

Surgical management of pelvic primary bone tumors involving the sacroiliac joint

Abstract: level IV: Retrospective Therapeutic Study.

Cited by 44 publications

References 25 publications

Surgical Technique: Iliosacral Reconstruction With Minimal Spinal Instrumentation

Surgical Technique: Iliosacral Reconstruction With Minimal Spinal Instrumentation

Blood Loss and Massive Transfusion in Patients Undergoing Major Oncological Surgery: What Do We Know?

Sacroiliac joint cut accuracy: Comparing new technologies in an idealized sawbones model

Contact Info

Product

Resources

About