Skip to main content
SpringerLink
Log in

The problem of stabilization after sacrectomy

  • Clinical and Experimental Forum
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

After sacrectomy, mobilization of the patient is only possible if a stable connection between the spine and pelvis can be obtained. We have developed an instrumentation to fix the pelvis to the spine. Two DHS screws connected to each other were implanted in the pelvis (one DHS screw into each ilium). An internal spine fixator, anchored in L3 and L4 through transpedicular Schanz screws, was attached to these DHS screws. Two patients were stabilized with this implant after sacrectomy. One patient was able to walk with crutches; the other patient was able to walk even without crutches.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Campanacci M, Capanna R (1984) Pelvic malignancies — resection of the sacrum. In: Campanacci M (ed) Current concepts of diagnosis and treatment of bone and soft tissue tumors. Springer, Berlin Heidelberg New York, pp 373–376

    Google Scholar 

  2. Feldenzer JA, McGauley JL, McGillicuddy JE (1989) Sacral and presacral tumors: problems in diagnosis and management. Neurosurgery 25:884

    Google Scholar 

  3. Gunterberg B, Romanus B, Stener B (1976) Pelvic strength after major amputation of the sacrum. An experimental study. Acta Orthop Scand 47:635–642

    Google Scholar 

  4. Michel A (1990) Total sacrectomy and lower spine resection for giant cell tumor: one case report. Chir Organ Mov 75 (Suppl 1):117–118

    Google Scholar 

  5. Sand MD, Mitsunaga MM, Lockett JL (1993) Total sacrectomy for a giant sacral schwannoma. A case report. Clin Orthop 284:285–289

    Google Scholar 

  6. Shikata J, Yamamuro T, Kotoura Y, Mikawa Y, Iida H, Maetani S (1988) Total sacrectomy and reconstruction for primary tumors. J Bone Joint Surg [Am] 70:122

    Google Scholar 

  7. Stener B, Gunterberg B (1978) High amputation of the sacrum for extirpation of tumors: principles and technique. Spine 3:351

    Google Scholar 

  8. Stewart RJ, Humphreys WG, Parks TG (1986) The presentation and management of presacral tumors. Br J Surg 73:153

    Google Scholar 

  9. Tomita K, Tschuchiya H (1990) Total sacrectomy and reconstruction for high sacral tumors. Spine 15:1223–1227

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Orthopädische Chirurgie, Kantonsspital St Gallen, CH-9007, St Gallen, Switzerland

    G. Blatter, E. G. Halter Ward, G. Ruflin & B. Jeanneret

Authors
  1. G. Blatter
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. G. Halter Ward
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Ruflin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Jeanneret
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blatter, G., Halter Ward, E.G., Ruflin, G. et al. The problem of stabilization after sacrectomy. Arch Orthop Trauma Surg 114, 40–42 (1994). https://doi.org/10.1007/BF00454735

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00454735

Keywords

Search

Navigation