[Investigation of resection and reconstruction procedure of high-sacra tumors]

[Investigation of resection and reconstruction procedure of high-sacra tumors] Research Abstract Details 

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[Investigation of resection and reconstruction procedure of high-sacra tumors] Abstract Text:

Jian-ru Xiao,Lian-shun Jia,Hua-jiang Chen,Hai-feng Wei,Xing-hai Yang,De-yu Chen,Qiu-feng Zhu,

OBJECTIVE: To investigate the way of resection of high-sacrum tumors and the way and duration of the spinal-pelvic TSRH or ISOLA internal fixation. METHOD: From October 1998 through April 2002, 35 patients with sacral tumor were enrolled in our hospital, including 4 cases in L(5)-S(1), 2 in L(5)-S(2), 4 in S(1), 8 in S(1 - 2), 6 in S(1 - 3), 6 in S(1 - 4), 5 in S(1 - 5). 35 patients were followed by lumbo-pelvic TSRH or ISOLA internal fixation and corresponding chemotherapy and radiotherapy. RESULTS: In the follow-up period of 6 - 42 months, the short-term results were satisfactory with the lumbosacral pain reduced and the neurological function improved in different degrees, however dysuria occurred in 1 case and skin necrobiosis at coccygeal incision occurred in 1 case; two cases experienced cerebrospinal fluid leakage and 1 case experienced postoperative infection and delayed healing, 1 case with chodoma and 2 cases with malignant fibrous histocytoma recurred 1 year after postoperation, one of these 2 cases with malignant fibrous histocytoma suffered from lung metastasis and died of system failure 19 months after postoperation. No fractured rod occurred. CONCLUSION: Surgical procedure and postoperative comprehensive treatment have important effects on the prognosis. High-sacral tumor resection and reconstruction are effective means of achieving stabilization, providing significant pain relief and preserving ambulatory capacity.

[Investigation of resection and reconstruction procedure of high-sacra tumors] Publishing Authors By Initials

JR Xiao,LS Jia,HJ Chen,HF Wei,XH Yang,DY Chen,QF Zhu,

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[Investigation of resection and reconstruction procedure of high-sacra tumors] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhonghua wai ke za zhi [Chinese journal of surgery

VOLUME: 41

Page Numbers: 575-7

Journal Abbreviation: Zhonghua Wai Ke Za Zhi

ISSN: 0529-5815

DAY: 24

MONTH: Aug

YEAR: 2003

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LANGUAGE: chi

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AFFILIATION: Orthopaedics Department, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.

Country: China

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MEDLINETA: Zhonghua Wai Ke Za Zhi

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