Partial sacrectomy by single posterior approach.

Main Article Content

Pedro Luis Bazán
Sergio Terraza
Álvaro Enrique Borri
Martin Medina

Abstract

IntroductionTumors of the sacrum correspond to less than 7% of spinal tumors. The side prevail by multiple myeloma or prostate, breast, lung and colon carcinomas. Of the primary, the chordoma is the most frequent malignant and giant cell tumor of the benign. For its evolution, commitment of extra bone structures and insufficient response to the collaboration, surgery is the most commonly used treatment, the path of approach and the need for instrumentation depends on tumor to treat.ObjectivesThe objectives of this work are: the use of partial resection of sacrum, analyze the surgical technique to assess complications. Material and methodsFour patients with diagnosis of sacral tumor located below S1, which ask for pain and that the images confirm the injury. Is everyone an en bloc resection by posterior via preserving S1. Describes the technique.ResultsThe pathological was: a chordoma, a malignant nerve sheath tumor, a chondrosarcoma and a metastasis of prostatic carcinoma. Be preserved S1 function in all patients; one has permanent bladder dysfunction. Observed a wound dehiscence, infection and fistula of cerebrospinal fluid. With between 6 and 24 months follow-up all patients are free of disease.ConclusionsPartial resection of the unique approach via posterior sacrum may be indicated when the injury commit from S2 distally and uncompromising sacroiliac. Estate preservation is vital to guarantee best results post operative and lower rate of infection. 

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How to Cite
Bazán, P. L., Terraza, S., Borri, Álvaro E., & Medina, M. (2017). Partial sacrectomy by single posterior approach. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(2), 109-115. https://doi.org/10.15417/604
Section
Clinical Research
Author Biographies

Pedro Luis Bazán, HIGA San Martin de La Plata - Hospital Italiano de La PLata.

Especialista Certificado en Cirugía de Columna Vertebral. Jefe de la Unidad de Patología Espinal del HIGA "San Martín"La Plata Especialista Certificado en Ortopedia y Traumatología de la AAOT Especialista Jerarquizado en Ortopedia y traumatología del Colegio de Médico Distrito I

Sergio Terraza, HIGA SM Fellow AOSpine

Especialista certificado AAOT

Álvaro Enrique Borri, HIGA San Martin de La Plata - Hospital Italiano de La PLata.

Especialista Certificado en Cirugía de Columna Vertebral. Especialista Certificado en Ortopedia y Traumatología de la AAOT Especialista Jerarquizado en Ortopedia y traumatología del Colegio de Médico Distrito I

Martin Medina, HIGA San Martin de La Plata - Hospital Italiano de La PLata.

Especialista Certificado en Ortopedia y Traumatología de la AAOT Especialista Jerarquizado en Ortopedia y traumatología del Colegio de Médico Distrito I

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