What are the functional outcomes after total Sacrectomy without Spinopelvic reconstruction?

What are the functional outcomes after total Sacrectomy without Spinopelvic reconstruction?

Conclusions. Without spinopelvic reconstruction, most patients in this series who underwent total sacrectomy were able to walk. Good MSTS scores could be expected in patients with bilateral Type I resections and patients with a Type I on one side and a Type II on the contralateral side.

What is Sacrectomy?

[ sā-krĕk′tə-mē ] n. Resection of a portion of the sacrum.

What is a high Sacrectomy?

High subcortical sacrectomy: a novel approach to facilitate complete resection of locally advanced and recurrent rectal cancer with high (S1-S2) sacral extension.

What is a sacral chordoma?

Sacral chordoma is the most common primary malignant tumor of the sacrum. It accounts for 1–4% of all malignant bone tumors1,6,7. It is predominantly seen in the caucasian population with males being more affected than females.

What is a total Sacrectomy?

Total sacrectomy is an accepted treatment for aggressive tumors involving the entire sacrum.

What is a chordoma?

Chordoma is a slow growing cancer of tissue found inside the spine. Chordoma can happen anywhere along the spine. It is most often found near the tailbone (called a sacral tumor) or where the spine meets the skull (called a clival tumor).

How long can you live with chordoma?

Chordomas are malignant and potentially life threatening tumors. Currently the median survival in the United States is about 7 years. The overall survival rates are 68% at 5 years and 40% at 10 years. Complete surgical resection offers the best chance for long-term survival.

What is the survival rate of sacral chordoma?

Radaelli et al reported that among 99 patients with primary sacral chordoma, the 5-year and 10-year survival rate was 92% and 63%, respectively. Ruggieri et al reported that among 56 patients with primary sacral chordoma, the 5-year and 10-year survival rate was 97% and 71%, respectively.

Is chordoma life threatening?

When chordomas metastasize (spread) to other parts of the body, or if they grow large and begin to press on critical parts of the brain, they can become life threatening. Even when chordomas have not spread, they can grow very large and damage nerves in the spine and brain, causing disability that may be permanent.

How fast do chordomas grow?

Chordomas grow very slowly. Many people don’t notice any change in their bodies for years. When they do start to have symptoms, it can take a while for the chordoma to be discovered and diagnosed. Most people are diagnosed with chordoma in their 50s and 60s.

  • October 10, 2022