Total sacrectomy and lumbopelvic reconstruction for primary tumors of the sacrum

Abstract

Due to their resistance to oncologic treatment and a low tendency to metastasize, the management of primary tumors of the sacrum is resection with wide margins. We present two male patients (ages 19 years) with chondrosarcoma and a giant cell tumor, respectively. Total sacrectomy and lumbopelvic fixation were performed in both cases. The former patient developed loss of sphincter control and drop foot and died 33 months after surgery from pulmonary metastases. Permanent incontinence and drop foot were observed in the latter. During a follow-up period of 49 months no local recurrences and metastases were encountered.