Pelvic sacral and hemi lumbar spine resection of low grade pelvic chodrosarcma: a multistage procedure involving vascular bypass, spine fixation and vascular exclusion
| Autor: | G. Marolda, Carmine Zoccali, A. Di Francesco, Nicola Salducca, L. Favale, Roberto Biagini |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Sacrum medicine.medical_specialty extra-anatomical vascular bypass Bone Screws Chondrosarcoma Bone Neoplasms Iliac Artery Lumbar pelvic tumor pelvic chondrosarcoma pelvic resection lumbar resection Humans Medicine Orthopedics and Sports Medicine Pelvic Bones Exostosis Pelvis Lumbar Vertebrae business.industry Biopsy Needle Angiography Vascular bypass Middle Aged medicine.disease Neurovascular bundle Surgery Femoral Artery Spinal Fusion medicine.anatomical_structure Pelvic tumor Radiology Tomography X-Ray Computed business Follow-Up Studies Artery |
| Popis: | Summary Peripheral chondrosarcoma is a rare tumor particularly insidious when arising from the pelvis, becoming symptomatic later in time when surgery may be too difficult and dangerous due to this complex area. In the present case, the tumor arose from an exostosis located on the medial surface of the left iliac wing. Its diameter was 25 cm × 20 cm × 15 cm, adhering to the last three vertebrae, involving the left iliac vein and artery, displacing the left ureter. In a similar case, a hindquarter amputation is indicated but, if the patient refuses, a resection remains possible. In this paper, we describe a multistage technique consisting of an extra-anatomic vascular bypass, a lumbar stabilization, a neurovascular bundles anterior isolation and a postero-lateral resection of this mass. After a five-year follow-up, the patient is alive and able to stand and walk with support, after undergoing twice lung metastasis removal. |
| Databáze: | OpenAIRE |
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