The management of sacral tumours

Abstract

Tumours of the sacrum are difficult to manage. The sacrum provides the structural connection between the torso and lower half of the body and is subject to both axial and rotational forces. Thus, tumours or their treatment can compromise the stability of the spinopelvic junction. Additionally, nerves responsible for lower limb motor groups as well as bowel, bladder, and sexual function traverse or abut the sacrum. Preservation or sacrifice of these nerves in the treatment of sacral tumours has profound implications on the function and quality of life of the patient. This annotation will discuss current treatment protocols for sacral tumours. Cite this article: Bone Joint J 2022;104-B(12):1284–1291.

A 3D-Printed Model for High Sacrectomy of a Marjolin’s Ulcer–Associated Sacral Tumor: A Case Report and Literature Review

“…The approach side is the first thing to decide. An anterior approach is recommended for tumors invading the abdominal cavity, intestines, and blood vessels, or sacrectomy of the mid-S2 or higher level is required 16) . Otherwise, the posterior approach is preferred.…”

Oncology

“…This useful review from Rochester (New York, USA) looked at the diseases responsible for sacral lesions, their epidemiology, and strategies for their management, a useful resource for those of us managing these challenging tumours. 4 The review noted that primary sacral tumours usually require en bloc excision with negative margin, further identifying that primary sacral tumours are usually associated with poorer outcomes than those of the appendicular skeleton. This likely is a combination of the difficulties associated with delayed diagnosis, the constraints of surgical access, and the pelvic location of the lesions.…”

“…This useful review from Rochester (New York, USA) looked at the diseases responsible for sacral lesions, their epidemiology, and strategies for their management, a useful resource for those of us managing these challenging tumours. 4 The review noted that primary sacral tumours usually require en bloc excision with negative margin, further identifying that primary sacral tumours are usually associated with…”