Sacrectomy with ilio-lumbar stabilization due to low-grade chondrosarcoma of sacrum and iliac wing. Case report of the first surgery performed in the Republic of North Macedonia.

Journal
Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Date Issued
2021
Author(s)
Popovska, D
Todorova, T
Rushiti, Q
Hasani Jusufi, A
Abstract
Low - grade chondrosarcomas are primary malignant bone tumors that are resistant to chemo- and radiotherapy and are treated surgically. Sacral localization makes surgical resection technically difficult due
to position, anatomic structures involved, and large tumor size at detection. The risk of complications is
high. We present the introduction of a novel surgical technique in our country, sacrectomy with ilio-lumbar
stabilization. This was performed on a 67-year-old man with low-grade chondrosarcoma of the sacrum
with sacroiliac joint involvement. The procedure was performed via an antero-posterior approach in two stages. Ilio-lumbar fixation with a mesh cage bridge was used to obtain spinopelvic continuity and stability. Sacrectomy is a technically demanding procedure that requires careful preoperative planning and a multidisciplinary approach, as well as high level of surgical experience.
Subjects

chondrosarcoma

sacrectomy

ilio-lumbar stabiliza...

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Sacrectomy with ilio-lumbar stabilization due to low-grade chondrosarcoma of sacrum and iliac wing. Case report of the first surgery performed in the Republic of North Macedonia.pdf

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