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Published in: BMC Pregnancy and Childbirth 1/2016

Open Access 01-12-2016 | Case report

Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review

Authors: Valentin V. Barsan, Valentina Briceño, Manisha Gandhi, Andrew Jea

Published in: BMC Pregnancy and Childbirth | Issue 1/2016

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Abstract

Background

Sacrectomy remains a technically complex procedure for resection of malignant pelvic neoplasia. Commonly, postoperative complications include permanent neurological deficits. Only a few studies have reported the long-term functional outcomes of patients who had undergone sacrectomy.

Case presentation

We previously reported on the utilization of complete sacrectomy and lumbopelvic reconstruction for the management of primary myofibroblastic sarcoma of the sacrum and ilium in a 15-year-old female patient. In this report, we update her postoperative course with an additional 5 years of follow-up and Health-Related Quality of Life (HRQoL) outcomes. During this time period, she gave birth to two healthy full-term babies.

Conclusion

To the best of our knowledge, this is the first report of pregnancy after total sacrectomy and lumbopelvic reconstruction. We outline some of the challenges in the obstetrical management of this patient.
Literature
1.
go back to reference Bergh P, Gunterberg B, Meis-Kindblom JM, Kindblom LG. Prognostic factors and outcome of pelvic, sacral, and spinal chondrosarcomas: a center-based study of 69 cases. Cancer. 2001;91:1201–12. 11283918, 1:STN:280:DC%2BD3M3js1yiug%3D%3D, 10.1002/1097-0142(20010401)91:7<1201::AID-CNCR1120>3.0.CO;2-WCrossRefPubMed Bergh P, Gunterberg B, Meis-Kindblom JM, Kindblom LG. Prognostic factors and outcome of pelvic, sacral, and spinal chondrosarcomas: a center-based study of 69 cases. Cancer. 2001;91:1201–12. 11283918, 1:STN:280:DC%2BD3M3js1yiug%3D%3D, 10.1002/1097-0142(20010401)91:7<1201::AID-CNCR1120>3.0.CO;2-WCrossRefPubMed
2.
go back to reference Bethke KP, Neifeld JP, Lawrence Jr W. Diagnosis and management of sacrococcygeal chordoma. J Surg Oncol. 1991;48:232–8. 1745047, 1:STN:280:DyaK38%2FnvFCquw%3D%3D, 10.1002/jso.2930480405CrossRefPubMed Bethke KP, Neifeld JP, Lawrence Jr W. Diagnosis and management of sacrococcygeal chordoma. J Surg Oncol. 1991;48:232–8. 1745047, 1:STN:280:DyaK38%2FnvFCquw%3D%3D, 10.1002/jso.2930480405CrossRefPubMed
3.
go back to reference Davidge KM, Eskicioglu C, Lipa J, Ferguson P, Swallow CJ, Wright FC. Qualitative assessment of patient experiences following sacrectomy. J Surg Oncol. 2010;101:447–50. 20401914, 1:STN:280:DC%2BC3c3ntFCnsw%3D%3DPubMed Davidge KM, Eskicioglu C, Lipa J, Ferguson P, Swallow CJ, Wright FC. Qualitative assessment of patient experiences following sacrectomy. J Surg Oncol. 2010;101:447–50. 20401914, 1:STN:280:DC%2BC3c3ntFCnsw%3D%3DPubMed
4.
go back to reference DeVivo MJ, Black KJ, Stover SL. Causes of death during the first 12 years after spinal cord injury. Arch Phys Med Rehabil. 1993;74:248–54. 8439250, 1:STN:280:DyaK3s7ns1SjsQ%3D%3DPubMed DeVivo MJ, Black KJ, Stover SL. Causes of death during the first 12 years after spinal cord injury. Arch Phys Med Rehabil. 1993;74:248–54. 8439250, 1:STN:280:DyaK3s7ns1SjsQ%3D%3DPubMed
6.
go back to reference Fourney DR, Rhines LD, Hentschel SJ, Skibber JM, Wolinsky JP, Weber KL, et al. En bloc resection of primary sacral tumors: classification of surgical approaches and outcome. J Neurosurg Spine. 2005;3:111–22. 16370300, 10.3171/spi.2005.3.2.0111CrossRefPubMed Fourney DR, Rhines LD, Hentschel SJ, Skibber JM, Wolinsky JP, Weber KL, et al. En bloc resection of primary sacral tumors: classification of surgical approaches and outcome. J Neurosurg Spine. 2005;3:111–22. 16370300, 10.3171/spi.2005.3.2.0111CrossRefPubMed
7.
go back to reference Gottfried ON, Omeis I, Mehta VA, Solakoglu C, Gokaslan ZL, Wolinsky JP. Sacral tumor resection and the impact on pelvic incidence. J Neurosurg Spine. 2011;14:78–84. 21142465, 10.3171/2010.9.SPINE09728CrossRefPubMed Gottfried ON, Omeis I, Mehta VA, Solakoglu C, Gokaslan ZL, Wolinsky JP. Sacral tumor resection and the impact on pelvic incidence. J Neurosurg Spine. 2011;14:78–84. 21142465, 10.3171/2010.9.SPINE09728CrossRefPubMed
8.
go back to reference Hulen CA, Temple HT, Fox WP, Sama AA, Green BA, Eismont FJ. Oncologic and functional outcome following sacrectomy for sacral chordoma. J Bone Joint Surg Am. 2006;88:1532–9. 16818979, 10.2106/JBJS.D.02533CrossRefPubMed Hulen CA, Temple HT, Fox WP, Sama AA, Green BA, Eismont FJ. Oncologic and functional outcome following sacrectomy for sacral chordoma. J Bone Joint Surg Am. 2006;88:1532–9. 16818979, 10.2106/JBJS.D.02533CrossRefPubMed
Metadata
Title
Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review
Authors
Valentin V. Barsan
Valentina Briceño
Manisha Gandhi
Andrew Jea
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2016
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0735-5

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