Journal article : Review
New options and techniques in reconstructing the sacrum
- Abstract:
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Purpose:
Sacral tumours, both benign and malignant, often necessitate surgical removal (sacrectomy) to achieve optimal outcomes. However, this procedure disrupts the pelvic ring’s stability, potentially leading to pain and limited mobility.
Methods:
This article explores innovative approaches to reconstruct the sacrum and restore function in primary and secondary sacral tumours.
Results:
Beyond traditional bone graft-based spino-pelvic fixation, the paper delves into minimally invasive alternatives like robotic-assisted surgery which may be used especially as a palliative procedure in destructive lumbosacral junction metastases. This technique offers enhanced precision for implant placement and often a reduced surgical exposure, potentially improving patient recovery. Additionally, the article discusses the application of 3D-printed custom implants, precisely matched the patient’s anatomy to provide immediate structural support. It also explores the use of vascularised long bone flaps for pelvic reconstruction to achieve both stability and ambulation after sacrectomy. Additionally, it is necessary to mention the crucial role of soft tissue reconstruction using local flaps or free flaps from other body regions.
Conclusion:
By presenting these advancements in sacral reconstruction techniques, this article empowers surgeons to select an individualised approach for their patient. This personalised approach can optimise post-operative outcomes, allowing patients to regain function and improve their quality of life.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
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(Preview, Version of record, pdf, 1.9MB, Terms of use)
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- Publisher copy:
- 10.1007/s00586-025-09058-7
Authors
- Publisher:
- Springer
- Journal:
- European Spine Journal More from this journal
- Publication date:
- 2025-06-24
- Acceptance date:
- 2025-06-11
- DOI:
- EISSN:
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1432-0932
- ISSN:
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0940-6719
- Language:
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English
- Keywords:
- Subtype:
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Review
- Pubs id:
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2132333
- Local pid:
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pubs:2132333
- Source identifiers:
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W4411598197
- Deposit date:
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2025-06-26
- ARK identifier:
Terms of use
- Copyright holder:
- Kaiser et al.
- Copyright date:
- 2025
- Rights statement:
- © The Author(s) 2025. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
- Licence:
- CC Attribution (CC BY)
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