What Are the Functional Outcomes After Total Sacrectomy Without Spinopelvic Reconstruction?

Kiatisevi, Piya; Piyaskulkaew, Chaiwat; Kunakornsawat, Sombat; Sukunthanak, Bhasanan

doi:10.1007/s11999-016-4729-z

Cited by 38 publications

(29 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eight patients died of tumor recurrence and/or metastasis, and five patients survived with tumor recurrence. The 5‐year overall survival rate of patients was 83.3%, which is acceptable compared with values reported in previous studies …”

Section: Discussionsupporting

confidence: 67%

“…The incidence of primary malignant tumors invading the higher sacrum is low, and total en bloc sacrectomy is extremely challenging. Therefore, reports in the literature regarding the experience of patients undergoing total en bloc sacrectomy are rare, and most are small case series with fewer than 10 patients . Asavamongkolkul and Waikakul reported 12 sacral chordoma patients who underwent total sacrectomy via a posterior approach.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, reports in the literature regarding the experience of patients undergoing total en bloc sacrectomy are rare, and most are small case series with fewer than 10 patients. 1,3,8,9,[21][22][23][24] Asavamongkolkul and Waikakul 25 reported 12 sacral chordoma patients who underwent total sacrectomy via a posterior approach. All patients had bowel and bladder dysfunction postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…25 with values reported in previous studies. 1,3,8,9,[21][22][23][24]27,28 This study was the first to employ a qualitative analysis to study patients who underwent total en bloc sacrectomy and explore the long- In the current study, more than half of the patients said that they were unable to perform routine self-care and could not live without the help of others. The primary causes of this problem were lower limb impairment, fatigue, and restricted lower back movement.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of patient experiences following total sacrectomy for primary malignant sacral tumors: A qualitative study

Wang

Wei-ming

et al. 2019

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background and Objectives Few reports have investigated patient experiences following total en bloc sacrectomy. The aims of this study were to obtain a deeper understanding of patients’ personal experiences, needs, and satisfaction with the treatment to reveal areas in which perioperative and long‐term patient care can be improved. Methods A qualitative design was applied to examine patient experiences and supportive care needs. Patients treated between 2007 and 2017 were identified from our institutional database. Results A total of 28 survivors were interviewed (13 females, age 13‐75 years). Eight themes were identified: the effect of surgery on patients’ (a) daily lives, (b) social activities, (c) work or school activities, (d) and family lives; (e) acceptance of ostomy surgery; (f) need for guidance regarding long‐term rehabilitation; (g) satisfaction with the medical services provided in the hospital; and (h) satisfaction with the treatment outcomes. Conclusion Total en bloc sacrectomy can yield satisfactory oncological outcomes; however, the procedure is a life‐changing event for patients and their families. Physicians must provide long‐term support and guidance after surgery to enable patients to fully understand and cope with the changes in their lives.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of patient experiences following total sacrectomy for primary malignant sacral tumors: A qualitative study

Wang

Wei-ming

et al. 2019

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

“…As such, wide local resection via enbloc sacrectomy is a mainstay in their management (1)(2)(3)(4)(5). Sacrectomy is associated with significant morbidity, however, most patients retain their ability to ambulate postoperatively (4,(6)(7)(8). High rates of local-regional recurrence remain a challenge postoperatively (1,4,5,9).…”

mentioning

confidence: 99%

Hip Arthroplasty Following Subtotal Sacrectomy for Chordoma

Claxton

Shirley

Johnson

et al. 2020

In Vivo

View full text Add to dashboard Cite

Background/Aim: Chordomas often affect the sacrum with a high predilection for local-regional recurrence. Patients typically retain their ability to ambulate, and the development of metastatic disease in the periacetabular region can have significant morbidity and pain with ambulation. The purpose of the study was to describe the outcome of patients undergoing a hip arthroplasty following resection of a sacral chordoma. Patients and Methods: From 1990 to 2015, 84 patients underwent sacrectomy for chordoma, while four of these (5%) patients underwent hip arthroplasty. The most common level of nerve root sacrifice was S2-5 (n=2). The mean time between sacrectomy and hip arthroplasty was 7 years. Indications for arthroplasty included metastatic disease (n=3) and coxarthrosis (n=1). Results: Postoperatively two patients ambulated with a gait aid, and no patient had a Trendelenburg gait. The mean Harris Hip Score significantly improved from 49 to 80 postoperatively (p=0.02). Conclusion: The results of this study indicate that hip arthroplasty is a durable treatment option for patients with metastatic disease or coxarthrosis following subtotal sacrectomy for chordoma.

show abstract

Special Anatomical Zone: Sacral and Spinopelvic Tumors

Wolinsky

Fernández

2020

Surgical Spinal Oncology

View full text Add to dashboard Cite

What Are the Functional Outcomes After Total Sacrectomy Without Spinopelvic Reconstruction?

Abstract: Background After total sacrectomy, many types of spinopelvic reconstruction have been described with good functional results. However, complications associated with reconstruction are not uncommon and usually result in further surgical interventions. Moreover,

Cited by 38 publications

References 29 publications

Assessment of patient experiences following total sacrectomy for primary malignant sacral tumors: A qualitative study

Assessment of patient experiences following total sacrectomy for primary malignant sacral tumors: A qualitative study

Hip Arthroplasty Following Subtotal Sacrectomy for Chordoma

Special Anatomical Zone: Sacral and Spinopelvic Tumors

Contact Info

Product

Resources

About