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KMID : 0388719960030010083
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Journal of Korean Society of Spine Surgery
1996 Volume.3 No. 1 p.83 ~ p.89
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High Sacral Amputation in Giant Cell Tumor
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Cho Jae-Lim
Kim Tai-Seung
Park Ye-Soo
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Abstract
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The spine is a rare location of giant cell tumor, the incidence being 2-5% of all skeletal giant cell tumor and the sacrum itself is even less frequently involved. The radiographic picture of sacral giant cell tumor is similar to the one in the limbs but on plane x-rays it may be quite difficult to see because of intraluminal gas shadows and fecal materials. Thus the diagnosis is frequently delayed.
In giant cell tumor of the sacrum, intralesional procedures are almost always unavoidable owing to relative surgical inaccessibility of such regions.
Local recurrence, currently reported about 70%, however contains a potential threat to neurologic function and life.
Thus some authors suggest to amputate a part of sacrum as a curative surgical procedure, which is however feasible at the sacrum distal to S2.
We have experienced one case of giant cell tumor in sacrum which had to be was removed by sacral amputation at Sl because of involvement of S2 body verified by MRI. In this case, the patient walks normally without any problems originating from the unstable sacropelvic joints or from the neurologic deficit even though the bowel and bladder function was not quite normal. No recurrence of tumor was noted at 2 years follow up and we hereby report this case.
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KEYWORD
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Sacrum, Giant cell tumor, High sacral amputation
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