Posterior approach for radical excision of sacral chordoma
| Autor: | M. Kligman, M. Roffman, M. Waisman |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male musculoskeletal diseases Sacrum medicine.medical_specialty Urinary system medicine.medical_treatment Disease-Free Survival Posterior approach Chordoma medicine Humans Orthopedics and Sports Medicine Aged Spinal Neoplasms business.industry Wide local excision Middle Aged Prognosis medicine.disease Surgery Surgical Procedures Operative Orthopedic surgery Original Article Female Faecal continence business Sacral Chordoma |
| Zdroj: | International Orthopaedics. 21:181-184 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s002640050146 |
| Popis: | Sacral chordoma is a rare primary malignant tumour of bone. Operations to excise these tumours are complex, time consuming and involve considerable blood loss. We describe the use of a posterior approach to excise chordomas from the sacrum of five patients without visceral involvement. This approach is less complex than combined approaches previously described. No distal recurrences had occurred at a mean follow-up of 5 years. One patient developed local recurrence and was successfully treated by wide local excision. Postoperative morbidity was low with regard to urinary and faecal continence problems. We recommend the use of Mersilene mesh to prevent herniation through the sacral defect. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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