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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 3/2017

01-03-2017 | CORR Insights

CORR Insights®: How Does the Level of Nerve Root Resection in En Bloc Sacrectomy Influence Patient-Reported Outcomes?

Author: Nicola Fabbri, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 3/2017

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Excerpt

Surgery with curative intent by en bloc total or partial sacrectomy is the treatment of choice for the majority of patients with primary malignant tumors of the sacrum. In selected circumstances, it may be also indicated for primary or recurrent pelvic malignancies extending to the sacrum with no evidence of metastasis, most commonly colorectal or gynecologic cancers, often in association with pelvic exenteration [2, 7]. Above all, sacrectomy with negative surgical margin represents the treatment goal for patients with chordoma, by far the most common primary malignant sacral neoplasm, because it is predictably associated with long-term survival and cure [2]. …
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Fuchs B, Dickey ID, Yaszemski MJ, Inwards CY, Sim FH. Operative management of sacral chordoma. J Bone Joint Surg Am. 2005;87:2211–2216.PubMed
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Gunterberg B, Kewenter J, Petersén I, Stener B. Anorectal function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves. Br J Surg. 1976;63:546–554.CrossRefPubMed
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Milne T, Solomon MJ, Lee P, Young JM, Stalley P, Harrison JD, Austin KK. Sacral resection with pelvic exenteration for advanced primary and recurrent pelvic cancer: a single-institution experience of 100 sacrectomies. Dis Colon Rectum. 2014;57:1153–1161.CrossRefPubMed
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Phukan R, Herzog T, Boland PJ, Healey J, Rose P, Sim FH, Yazsemski M, Hess K, Osler P, DeLaney TF, Chen YL, Hornicek F, Schwab J. How does the level of sacral resection for primary malignant bone tumors affect physical and mental health, pain, mobility, incontinence, and sexual function? Clin Orthop Relat Res. 2016;474:687–696.CrossRefPubMed
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Metadata
Title
CORR Insights®: How Does the Level of Nerve Root Resection in En Bloc Sacrectomy Influence Patient-Reported Outcomes?
Author
Nicola Fabbri, MD
Publication date
01-03-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 3/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4897-x

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