En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach

Michelle J. Clarke*, Patricia L. Zadnik, Mari L. Groves, Hormuzdiyar H. Dasenbrock, Daniel M. Sciubba, Wesley Hsu, Timothy F. Witham, Ali Bydon, Ziya L. Gokaslan, Jean Paul Wolinsky

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Object. Traditionally, hemisacrectomy and internal hemipelvectomy procedures have required both an anterior and a posterior approach. A posterior-only approach has the potential to complete an en bloc tumor resection and spinopelvic reconstruction while reducing surgical morbidity. Methods. The authors describe 3 cases in which en bloc resection of the hemisacrum and ilium and subsequent lumbopelvic and pelvic ring reconstruction were performed from a posterior-only approach. Two more traditional anterior and posterior staged procedures are also included for comparison. Results. In all 3 cases, an oncologically appropriate surgery and spinopelvic reconstruction were performed through a posterior-only approach. Conclusions. The advantage of a midline posterior approach is the ability to perform a lumbosacral reconstruction, necessary in cases in which the S-1 body is iatrogenically disrupted during tumor resection.

Original languageEnglish (US)
Pages (from-to)458-467
Number of pages10
JournalJournal of Neurosurgery: Spine
Volume21
Issue number3
DOIs
StatePublished - Sep 1 2014

Keywords

  • Hemisacrectomy
  • Internal hemipelvectomy
  • Lumbosacral reconstruction
  • Posterior approach
  • Sacral

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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