Sacroplasty Augmentation of Instrumented Pelvic Reconstruction after High Sacrectomy: A Technical Case Report

Amanda N. Sacino, Sutipat Pairojboriboon, Ian Suk, Daniel Lubelski, Robin Yang, Daniel M. Sciubba, Sheng Fu Larry Lo

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND AND IMPORTANCE: En bloc resection of sacral tumors is the most effective treatment to help prevent recurrence. Sacrectomy, however, can be destabilizing, depending on the extent of resection. Various surgical techniques for improving stability and enabling early ambulation have been proposed. CLINICAL PRESENTATION: Here, we report a case in which we use PMMA (poly[methyl methacrylate]) to augment pelvic instrumentation to improve mechanical stability after sacrectomy for en bloc resection of a solitary fibrous tumor. CONCLUSION: We highlight the use of sacroplasty augmentation of pelvic ring reconstruction to provide biomechanical stability without the need for fusion of any mobile spine segments, which allowed for early patient ambulation and no appreciable loss of range of motion or mobility.

Original languageEnglish (US)
Pages (from-to)E375-E380
JournalOperative Neurosurgery
Volume21
Issue number4
DOIs
StatePublished - Oct 1 2021

Keywords

  • PMMA
  • Sacral tumor
  • Sacrectomy
  • Sacroplasty

ASJC Scopus subject areas

  • General Medicine

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