Sacral nerve preservation on total sacrectomy of a large atypical sacral chordoma resection: A case report.

Autor:	Budi MNS; Division of Oncology, Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia., Hadar AK; Division of Spine Surgery, Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia., Fachri D; Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia. Electronic address: Aifachri690@gmail.com., Wendy YR; Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Nov 28; Vol. 126, pp. 110681. Date of Electronic Publication: 2024 Nov 28.
DOI:	10.1016/j.ijscr.2024.110681
Abstrakt:	Introduction and Importance: Chordoma is a slow growing benign cartilaginous neoplasm. It is rarely found in the spine, comprising only 3 % of all Chordomas. Although Chordoma is typically asymptomatic, the mass effect of the lesion on the spinal cord or nerve roots might result in a progressing neurological loss. Presentation of Case: A 39-year-old male patient presented with pain and a mass on the buttock. The patient complained of intermittent pain for three years before hospital admission. The mass was slowly growing from the size of a marble to the size of a ping-pong ball. The patient also complained of difficulty having bowel movements, bladder and erectile dysfunction for the last 5 months. The biopsy test results in a Chordoma at regio gluteus which gave an impression of a Chordoma arising from the sacral region. Huge Sacral chrodoma was planned to be managed with total resection. Right L5 injury occurred during the surgery. The patient was stabilized with lumbopelvic stabilization. The patient could walk with minimal pain and did not show any disturbance in urination and defecation. Clinical Discussion: The mass was then excised with no intraoperative complication. At follow-up, the patient was asymptomatic and neurologically intact. Lumbopelvic stabilization can be indicated as an option for stabilization post total sacral resection because patient can have early mobilization. The Conclusion: In this case shown that even with large mass excision and lumbopelvic stabilization surgery with sacral nerve preservation and show a good clinical and functional outcome. Competing Interests: Declaration of competing interest The authors have no conflict of interest to declare. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu