Abstract
En bloc resection is considered a mainstay of treatment for primary tumors of the sacrum. Based on the extent and location of the tumor, following en bloc resection spinopelvic continuity can be compromised, and as such reconstruction is necessary. However, en bloc resection often creates a difficult reconstructive challenge for orthopedic and plastic oncologic and reconstructive surgeons due to the combination of a segmental bony defect and the complex biomechanics of the sacrum. In addition to these significant mechanical issues, the surgical anatomy of the bony, vascular, and visceral pelvic structures contributes to a technically demanding reconstruction. The purpose of this chapter is to describe the biomechanical and technical challenges of reconstruction following sacral resection and the authors’ suggestions to address those challenges.
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Houdek, M.T., Rose, P.S., Moran, S.L., Yaszemski, M.J., Sim, F.H. (2017). Sacral Biomechanics and Reconstruction. In: Ruggieri, P., Angelini, A., Vanel, D., Picci, P. (eds) Tumors of the Sacrum. Springer, Cham. https://doi.org/10.1007/978-3-319-51202-0_23
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DOI: https://doi.org/10.1007/978-3-319-51202-0_23
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