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KMID : 0388720160230020114
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Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 2 p.114 ~ p.120
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Spinopelvic Reconstruction with Femoral Allograft and Vertical Rectus Abdominis Myocutaneous Flap after Total Sacrectomy in Recurrent Sacral Chordoma: A Case Report
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Park Sang-Min
Lee Choon-Ki
Kim Hyoung-Min
Chang Bong-Soon
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Abstract
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Study Design: Case report.
Objectives: To report a case of recurrent sacral chordoma treated with total sacrectomy and spinopelvic reconstruction.
Summary of Literature Review: Sacral chordoma is a musculoskeletal tumor reported to have a low incidence. Surgical treatment is considered difficult due to the complicated sacropelvic structure, so the prognosis for patients with sacral chordoma has been considered poor.
Materials and Methods: We report a surgical technique and outcomes from spinopelvic reconstruction with femoral allograft and vertical rectus abdominis myocutaneous flap after total sacrectomy.
Results: We report no tumor recurrence at 43 months postoperatively.
Conclusions: Spinopelvic reconstruction with thorough surgical planning after total sacrectomy was found to be a safe and effective treatment method.
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KEYWORD
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Sacral chordoma, Spinopelvic reconstruction, Vertical rectus abdominis myocutaneous flap
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