Spinopelvic Reconstruction with Femoral Allograft and Vertical Rectus Abdominis Myocutaneous Flap after Total Sacrectomy in Recurrent Sacral Chordoma: A Case Report.
10.4184/jkss.2016.23.2.114
- Author:
Sang Min PARK
1
;
Jong Hun JUNG
;
Choon Ki LEE
;
Hyoungmin KIM
;
Bong Soon CHANG
Author Information
1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. bschang@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Sacral chordoma;
Spinopelvic reconstruction;
Vertical rectus abdominis myocutaneous flap
- MeSH:
Allografts*;
Chordoma*;
Humans;
Incidence;
Methods;
Myocutaneous Flap*;
Prognosis;
Rectus Abdominis*;
Recurrence
- From:Journal of Korean Society of Spine Surgery
2016;23(2):114-120
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case report. OBJECTIVES: To report a case of recurrent sacral chordoma treated with total sacrectomy and spinopelvic reconstruction. SUMMARY OF LITERATURE REVIEW: Sacral chordoma is a musculoskeletal tumor reported to have a low incidence. Surgical treatment is considered difficult due to the complicated sacropelvic structure, so the prognosis for patients with sacral chordoma has been considered poor. MATERIALS AND METHODS: We report a surgical technique and outcomes from spinopelvic reconstruction with femoral allograft and vertical rectus abdominis myocutaneous flap after total sacrectomy. RESULTS: We report no tumor recurrence at 43 months postoperatively. CONCLUSIONS: Spinopelvic reconstruction with thorough surgical planning after total sacrectomy was found to be a safe and effective treatment method.
