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Scapular Osteosarcoma Treated by Scapulectomy with or Without Scapular Allograft: A Retrospective Case Series

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Abstract

Background

Osteosarcoma of the scapula is extremely rare. Hence, there is no consensus regarding its optimal management. In this study, we report the demographics, characteristic features, and outcomes of scapulectomy with or without scapular allograft reconstruction in a series of patients with primary scapular osteosarcoma.

Materials and Methods

Twelve patients with primary scapular osteosarcoma who were treated by scapulectomy with or without scapular allograft reconstruction (five and seven patients, respectively) were included. The allograft was fixed in place using a dacron tape without a plate or screw. The function of the shoulder was evaluated using the Musculoskeletal Tumor Society (MSTS) score for the upper extremity and Toronto Extremity Salvage Score (TESS).

Results

The study population included seven (58.3%) males and five (41.7%) females with a mean age of 30 ± 8.2 years. The histologic type of the tumor was osteoblastic in the majority of patients (n = 8, 66.7%). At an average follow-up of 6.5 ± 2.3 years, only one local recurrence (8.3%) occurred in our patients that coincided with lung metastasis. The mean MSTS score was 78.7 ± 3.8% and 66.2 ± 4% in patients with and without scapular allograft, respectively (P = 0.006).‏ The mean TESS was 78.6 ± 5.6 and 68.4 ± 2.4 in patients with and without scapular allograft, respectively (P = 0.005).‏ The overall 5-year survival of the patients was 85.7%.

Conclusion

‏ Osteosarcoma of scapula more frequently occurs in the fourth decade of life, mainly presented with a sclerotic radiologic appearance. Patients with scapular allograft impaction after scapulectomy have better functional outcomes compared to those without boney reconstruction.

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Data availability

The data that support the findings of this article are not shared online, but are available from the corresponding author, [AM], upon reasonable request.

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Authors and Affiliations

  1. Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

    Khodamorad Jamshidi, Milad Haji Agha Bozorgi, Ehsan Mokhtari, Abolfazl Bagherifard & Alireza Mirzaei

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  1. Khodamorad Jamshidi
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  2. Milad Haji Agha Bozorgi
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  3. Ehsan Mokhtari
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  4. Abolfazl Bagherifard
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  5. Alireza Mirzaei
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Contributions

KJ: supervisor. MHAB: data collection. EM: data collection. AB: reviewing manuscript critically. AM: drafting the manuscript.

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Correspondence to Alireza Mirzaei.

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Jamshidi, K., Haji Agha Bozorgi, M., Mokhtari, E. et al. Scapular Osteosarcoma Treated by Scapulectomy with or Without Scapular Allograft: A Retrospective Case Series. JOIO 57, 453–460 (2023). https://doi.org/10.1007/s43465-022-00813-2

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