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Complex Lumbosacral Resection and Reconstruction Procedure

  • Daryl R. Fourney
  • Ziya L. Gokaslan
Part of the Current Clinical Oncology book series (CCO)

Abstract

Surgical resection, reconstruction, and internal fixation of the spine are often indicated in the management of patients with lumbosacral neoplasms. Because of the complex anatomy of this region, aggressive resections are technically demanding and often involve long operative times and significant blood loss. Some wide resections may require the purposeful sacrifice of nerve roots, with inherent functional consequences for the patient. In addition, the unique biomechanical features of the lumbosacral junction, combined with the destructive nature of neoplastic processes and the resection of such disease, present a challenging problem in terms of spinal reconstruction and stabilization. The purpose of this chapter is to review the important anatomic, biomechanical, and functional considerations of this region; to provide a step-by-step description of techniques for the resection of lumbosacral tumors; and to describe current methods of spinopelvic reconstruction and stabilization. Although the differential diagnosis of lumbosacral lesions is broad and includes inflammatory conditions as well as a variety of developmental abnormalities and cysts, the discussion here is limited to the management of neoplastic disease.

Keywords

Pedicle Screw Sacroiliac Joint Giant Cell Tumor Lumbosacral Junction Iliac Screw 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Humana Press, Inc., Totowa, NJ 2006

Authors and Affiliations

  • Daryl R. Fourney
    • 1
  • Ziya L. Gokaslan
    • 2
  1. 1.Department of NeurosurgeryThe University of Texas M.D. Anderson Cancer CenterHouston
  2. 2.Department of NeurosurgeryThe Spine Program, The University of Texas M.D. Anderson Cancer CenterHouston

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