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Computer-assisted sacral tumor resection. A case report

Cited 38 time in Web of Science Cited 47 time in Scopus
Authors

Cho, Hwan Seong; Kang, Hyun Guy; Kim, Han-Soo; Han, Ilkyu

Issue Date
2008-07-03
Publisher
Journal of Bone and Joint Surgery, Inc.
Citation
J Bone Joint Surg [Am] 2008; 90(7):1561-6
Keywords
HumansMaleMiddle AgedSpinal Neoplasms/diagnosis/*surgeryStereotaxic TechniquesSurgery, Computer-AssistedSacrum
Abstract
Resection of sacral tumors is one of the most difficult
operations in orthopaedic oncology because complex imaging modalities is that intraoperative identification can
increase the accuracy of surgical resection. We report a case of
sacral chondrosarcoma in which computer-assisted surgery
provided intraoperative real-time imaging, thereby allowing us
to achieve adequate surgical margins while preserving the sacral
nerve roots. Additionally, the tumor resection was carried
out through a posterior approach only. The patient was informed
that data concerning the case would be submitted for
publication, and he consented.
anatomy and important internal organs in the pelvic
area make it difficult to achieve wide surgical margins1. Wide
resection of sacral tumors may lead to serious functional impairments
due to injury to important internal organs and/or
the lumbosacral nerve roots or through the disruption of loadbearing
through the sacroiliac joint.
Recent advances in diagnostic modalities facilitate better
surgical planning and can help in the performance of surgeries
as planned. Computer-assisted surgery has been used in orthopaedic
operations such as cruciate ligament reconstruction,
hip and knee arthroplasty, and pedicle screw placement. The
main advantage of computer-assisted navigation over other
ISSN
1535-1386 (Electronic)
Language
English
URI
http://www.ejbjs.org/cgi/reprint/90/7/1561.pdf

https://hdl.handle.net/10371/67446
DOI
https://doi.org/10.2106/JBJS.G.00928
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