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Spinopelvic Reconstruction with Femoral Allograft and Vertical Rectus Abdominis Myocutaneous Flap after Total Sacrectomy in Recurrent Sacral Chordoma - A Case Report -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2016, 23(2), pp.114-120
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

박상민 1 정종훈 1 Lee, Choon Ki ORD ID 2 김형민 1 Chang, Bong-Soon ORD ID 2

1서울대학교 의과대학 정형외과학교실
2서울대학교

Accredited

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.

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