Abstract
Reconstruction after total sacrectomy has always been challenging since an effective and durable reconstruction would demand spinal pelvic fixation (SPF), posterior pelvic ring fixation (PPRF), and anterior spinal column fixation (ASCF). Traditional methods to fulfill such a triad reconstruction are always time-consuming and accompanied with massive intra-operative hemorrhage. With the advent of 3D-printing technology, we have designed a 3D-printed, modular, sacrum prosthesis that incorporates the biomechanical characteristics of SPF, PPRF, and ASCF into one entity. Application of this sacrum prosthesis could achieve better spinopelvic stability and implant survival with no greater intra-operative hemorrhage or peri-operative complications compared with single SPF reconstruction and traditional combined reconstruction.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sciubba DM, Petteys RJ, Garces-Ambrossi GL, et al. Diagnosis and management of sacral tumors. J Neurosurg Spine. 2009;10(3):244–56.
Guo W, Tang X, Zang J, Ji T. One-stage total en bloc sacrectomy: a novel technique and report of 9 cases. Spine (Phila Pa 1976). 2013;38(10):E626–31.
Wuisman P, Lieshout O, Sugihara S, van Dijk M. Total sacrectomy and reconstruction: oncologic and functional outcome. Clin Orthop Relat Res. 2000;(381):192–203.
Li D, Guo W, Tang X, et al. Surgical classification of different types of en bloc resection for primary malignant sacral tumors. Eur Spine J. 2011;20(12):2275–81.
Zhu R, Cheng LM, Yu Y, et al. Comparison of four reconstruction methods after total sacrectomy: a finite element study. Clin Biomech (Bristol, Avon). 2012;27(8):771–6.
Wei R, Guo W, Yang R, et al. Reconstruction of the pelvic ring after total en bloc sacrectomy using a 3D-printed sacral endoprosthesis with re-establishment of spinopelvic stability: a retrospective comparative study. Bone Joint J. 2019;101-B(7):880–8.
Bederman SS, Shah KN, Hassan JM, et al. Surgical techniques for spinopelvic reconstruction following total sacrectomy: a systematic review. Eur Spine J. 2014;23(2):305–19.
Gallia GL, Haque R, Garonzik I, et al. Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note. J Neurosurg Spine. 2005;3(6):501–6.
Wei R, Guo W, Ji T, et al. One-step reconstruction with a 3D-printed, custom-made prosthesis after total en bloc sacrectomy: a technical note. Eur Spine J. 2017;26(7):1902–9.
Huang S, Ji T, Guo W. Biomechanical comparison of a 3D-printed sacrum prosthesis versus rod-screw systems for reconstruction after total sacrectomy: a finite element analysis. Clin Biomech (Bristol, Avon). 2019;70:203–8.
Ahmed SK, Robinson SI, Arndt CAS, et al. Pelvis Ewing sarcoma: Local control and survival in the modern era. Pediatr Blood Cancer. 2017;64(9).
Andreou D, Ranft A, Gosheger G, et al. Which factors are associated with local control and survival of patients with localized pelvic Ewing’s sarcoma? A retrospective analysis of data from the euro-EWING99 trial. Clin Orthop Relat Res. 2020;478(2):290–302.
Guder WK, Hardes J, Nottrott M, et al. Pelvic Ewing sarcoma: a retrospective outcome analysis of 104 patients who underwent pelvic tumor resection at a single supra-regional center. J Orthop Surg Res. 2020;15(1):534.
Wang Y, Liang W, Qu S, et al. Assessment of patient experiences following total sacrectomy for primary malignant sacral tumors: a qualitative study. J Surg Oncol. 2019;120(8):1497–504.
Zang J, Guo W, Yang R, et al. Is total en bloc sacrectomy using a posterior-only approach feasible and safe for patients with malignant sacral tumors? J Neurosurg Spine. 2015;22(6):563–70.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Guo, W. (2022). Implant Reconstruction of the Sacrum: Modular Sacrum Prosthesis. In: Özger, H., Sim, F.H., Puri, A., Eralp, L. (eds) Orthopedic Surgical Oncology For Bone Tumors . Springer, Cham. https://doi.org/10.1007/978-3-030-73327-8_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-73327-8_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-73326-1
Online ISBN: 978-3-030-73327-8
eBook Packages: MedicineMedicine (R0)