scholarly journals En Bloc Resection and Pelvic Ring Reconstruction for Primary Malignant Bone Tumors Involving Sacroiliac Joint

2019 ◽  
Vol 11 (6) ◽  
pp. 1120-1126 ◽  
Author(s):  
Ming Xu ◽  
Kai Zheng ◽  
Jie Zhao ◽  
Wen‐zhe Bai ◽  
Xiu‐chun Yu
Keyword(s):  
Sacroiliac Joint ◽  
Bone Tumors ◽  
Pelvic Ring ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Malignant Bone Tumors ◽  
En Bloc

scholarly journals Sacroplasty Augmentation of Instrumented Pelvic Reconstruction After High Sacrectomy: A Technical Case Report

2021 ◽  
Author(s):  
Amanda N Sacino ◽  
Sutipat Pairojboriboon ◽  
Ian Suk ◽  
Daniel Lubelski ◽  
Robin Yang ◽  
...  
Keyword(s):  
Mechanical Stability ◽  
Pelvic Ring ◽  
Surgical Techniques ◽  
Extent Of Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Mobile Spine ◽  
Sacral Tumors ◽  
Fibrous Tumor

Abstract BACKGROUND AND IMPORTANCE En bloc resection of sacral tumors is the most effective treatment to help prevent recurrence. Sacrectomy, however, can be destabilizing, depending on the extent of resection. Various surgical techniques for improving stability and enabling early ambulation have been proposed. CLINICAL PRESENTATION Here, we report a case in which we use PMMA (poly[methyl methacrylate]) to augment pelvic instrumentation to improve mechanical stability after sacrectomy for en bloc resection of a solitary fibrous tumor. CONCLUSION We highlight the use of sacroplasty augmentation of pelvic ring reconstruction to provide biomechanical stability without the need for fusion of any mobile spine segments, which allowed for early patient ambulation and no appreciable loss of range of motion or mobility.

113. En bloc resection for primary bone tumors of the spine

2003 ◽  
Vol 3 (5) ◽  
pp. 122
Author(s):  
Charles Fisher ◽  
Marcel Dvorak ◽  
Michael Boyd
Keyword(s):  
Bone Tumors ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Primary Bone Tumors ◽  
Primary Bone

En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach

2014 ◽  
Vol 21 (3) ◽  
pp. 458-467 ◽  
Author(s):  
Michelle J. Clarke ◽  
Patricia L. Zadnik ◽  
Mari L. Groves ◽  
Hormuzdiyar H. Dasenbrock ◽  
Daniel M. Sciubba ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Pelvic Ring ◽  
Tumor Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Surgical Morbidity ◽  
En Bloc ◽  
Internal Hemipelvectomy

Object Traditionally, hemisacrectomy and internal hemipelvectomy procedures have required both an anterior and a posterior approach. A posterior-only approach has the potential to complete an en bloc tumor resection and spinopelvic reconstruction while reducing surgical morbidity. Methods The authors describe 3 cases in which en bloc resection of the hemisacrum and ilium and subsequent lumbopelvic and pelvic ring reconstruction were performed from a posterior-only approach. Two more traditional anterior and posterior staged procedures are also included for comparison. Results In all 3 cases, an oncologically appropriate surgery and spinopelvic reconstruction were performed through a posterior-only approach. Conclusions The advantage of a midline posterior approach is the ability to perform a lumbosacral reconstruction, necessary in cases in which the S-1 body is iatrogenically disrupted during tumor resection.

scholarly journals Is Navigation-guided En Bloc Resection Advantageous Compared With Intralesional Curettage for Locally Aggressive Bone Tumors?

2018 ◽  
Vol 476 (3) ◽  
pp. 511-517 ◽  
Author(s):  
Germán L. Farfalli ◽  
Jose I. Albergo ◽  
Nicolas S. Piuzzi ◽  
Miguel A. Ayerza ◽  
D. Luis Muscolo ◽  
...  
Keyword(s):  
Bone Tumors ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Intralesional Curettage

scholarly journals Wrist Reconstruction after En bloc Resection of Bone Tumors of the Distal Radius

2021 ◽  
Author(s):  
Weijian Liu ◽  
Baichuan Wang ◽  
Shuo Zhang ◽  
Yubin Li ◽  
Binwu Hu ◽  
...  
Keyword(s):  
Distal Radius ◽  
Bone Tumors ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc

Single-stage total C-2 intralesional spondylectomy for chordoma with three-column reconstruction

2007 ◽  
Vol 6 (6) ◽  
pp. 611-618 ◽  
Author(s):  
Petr Suchomel ◽  
Pavel Buchvald ◽  
Pavel Barsa ◽  
Robert Froehlich ◽  
Ondrej Choutka ◽  
...  
Keyword(s):  
Patient Survival ◽  
Cervical Vertebrae ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Single Stage ◽  
Reconstruction Technique ◽  
Malignant Bone Tumors ◽  
En Bloc ◽  
Upper Cervical ◽  
Anterior Posterior

✓Chordomas are locally invasive, malignant bone tumors that rarely occur in the cervical spine. En bloc resection or even fully resecting the tumor along its margin offers improved patient survival and a potential disease cure. Complete resection of tumors involving the upper cervical vertebrae requires a combined anterior–posterior approach but is complicated by the presence of vertebral arteries (VAs). In addition, reconstruction of the postresection defect may be prone to failure. The authors present a case of a chordoma involving the axis that was treated using a single-stage total intralesional C-2 spondylectomy with preservation of both VAs because the patient did not tolerate a preoperative occlusion test. A three-column reconstruction technique is also presented.

Principles and techniques of en bloc vertebrectomy for bone tumors of the thoracolumbar spine: an overview

2003 ◽  
Vol 15 (5) ◽  
pp. 1-6 ◽  
Author(s):  
Robert J. Bohinski ◽  
Laurence D. Rhines
Keyword(s):  
Bone Tumors ◽  
Vertebral Column ◽  
Thoracolumbar Spine ◽  
Surgical Margin ◽  
Surgical Oncology ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Long Bone ◽  
Surgical Approaches ◽  
En Bloc

Oncological principles for en bloc resection of bone tumors were initially developed for tumors of the long bone by orthopedic surgical oncologists. Recently, spine surgeons have adopted these principles for the treatment of vertebral column tumors. The goal of en bloc resection is to establish a surgical margin that can be designated marginal or wide. In this article, the principles of surgical oncology for bone tumors of the spine are briefly reviewed and the different surgical approaches used to remove these tumors in an en bloc fashion are described in detail.

scholarly journals Combined posterior hemiosteotomies and stabilization with lateral thoracotomy for en bloc resection of thoracic paraspinal primary bone tumors: technical note

2016 ◽  
Vol 24 (2) ◽  
pp. 223-227 ◽  
Author(s):  
Mauricio J. Avila ◽  
Jesse Skoch ◽  
Vernard S. Fennell ◽  
Sheri K. Palejwala ◽  
Christina M. Walter ◽  
...  
Keyword(s):  
Bone Tumors ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Technical Note ◽  
En Bloc ◽  
Primary Bone Tumors ◽  
Primary Bone ◽  
En Bloc Excision ◽  
Bloc Excision ◽  
Lateral Thoracotomy

Primary bone tumors of the spine are rare entities with a poor prognosis if left untreated. En bloc excision is the preferred surgical approach to minimize the rate of recurrence. Paraspinal primary bone tumors are even less common. In this technical note the authors present an approach to the en bloc resection of primary bone tumors of the paraspinal thoracic region with posterior vertebral body hemiosteotomies and lateral thoracotomy. They also describe 2 illustrative cases.

Sign in / Sign up

Export Citation Format

Share Document