Spine Surgery pp 547-562 | Cite as

Tumors of the Sacrum

  • Sandro M. KriegEmail author
  • Bernhard Meyer


Sacral tumors can be metastases or primary tumors. The latter represent an uncommon entity, only accounting for approximately 7% of all primary tumors of the spine. While giant cell tumors and chordomas are the most frequent tumor type, they are also considerably resistant to chemo- and radiotherapy [1]. Along with their slow speed of growth sacral tumors most commonly induce only minor symptoms resulting in large tumors when the patients present in our clinics [3]. Moreover, many sacral tumors, such as chordomas and chondrosarcomas are proved to have a better oncological outcome if resected en bloc; yet, this is not possible in a large protion of cases [2]. This, however, is surgically demanding considering the critical biomechanical role, complex anatomy, interdisciplinary involvement, and frequently large anterior tumor mass.


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of NeurosurgeryKlinikum rechts der Isar, Technische Universität MünchenMunichGermany

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