ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2015
Complications, secondary interventions and long term morbidity after en bloc sacrectomy.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical outcomes of sacroplasty for metastatic sacral tumours: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Pooled it
- Surgical outcomes in oncological sacrectomy: a detailed analysis of surgical site infections (SSI).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Complication Pattern of Sacral Primary Tumor Resection: A Study on the Risk Factors of Surgical Site Infection and Bowel or Bladder Dysfunction and Their Associations with Length of Hospital Stay.Asian spine journal · 2023Article
- 3D printing for patient-specific implants in musculoskeletal oncology.EFORT open reviews · 2023Review
- A novel three dimensional-printed biomechanically evaluated patient-specific sacral implant in spinopelvic reconstruction after totalFrontiers in bioengineering and biotechnology · 2023Article
- Analysis of morbidity and mortality in patients with primary bone tumors who underwent sacrectomy: A systematic review.Journal of bone oncology · 2022Review
- Sacral insufficiency fractures are a risk of massive bleeding during sacrectomy: patient series.Journal of neurosurgery. Case lessons · 2021Article
- Predictors of short-term readmission after beyond total mesorectal excision for primary locally advanced and recurrent rectal cancer.Updates in surgery · 2019Article
- Can Aortic Balloon Occlusion Reduce Blood Loss During Resection of Sacral Tumors That Extend Into the Lower Lumber Spine?Clinical orthopaedics and related research · 2018Article
- What questionnaires to use when measuring quality of life in sacral tumor patients: the updated sacral tumor survey.The spine journal : official journal of the North American Spine Society · 2017Article
- Predictors for surgical complications of en bloc resections in the spine: review of 220 cases treated by the same team.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Pubectomy and stereotactic radiotherapy for the treatment of a non-resectable sacral osteosarcoma causing pelvic canal obstruction in a dog.The Canadian veterinary journal = La revue veterinaire canadienne · 2016Article
- Health-Related Quality of Life After Spine Surgery for Primary Bone Tumour.Current treatment options in oncology · 2016Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEn bloc sacrectomy is a demanding surgical procedure to remove tumors from the sacrum. Comprehensive data on readmissions for complications endured months to years after initial discharge are scant. The purpose of this study is to present the long-term complications, readmissions and secondary interventions for patients having undergone en bloc sacrectomy.
methodsPatients were included if en bloc sacrectomy and follow-up were conducted in the authors institution. Correspondence from all specialties involved in the treatment of patients was retrieved. Predefined parameters were scored and assigned to five distinct phases: diagnostic phase; surgery; postoperative period to 1 year after surgery; second year after surgery until follow-up and last follow-up.
resultsSixteen patients underwent anterior-posterior en bloc sacrectomy for a locally aggressive tumor (n=2); malignant tumor (n=13) or solitary metastasis (n=1). The type of resection was low (n=1); middle (n=3); high (n=4); total (n=3) and hemisacrectomy (n=5). The median surgical duration was 12.7 h and median blood lost was 12 l. A total of 73 major complications (average per patient 5; median 4; range 0-12) were recorded and 73 secondary interventions (average per patient 5; median 5; range 0-11) were performed in the first year postsurgery. From the second year until follow-up complications and secondary interventions markedly decreased. At final follow-up (65-266 months), considerable morbidity was found for the eleven patients still alive.
conclusionsEn bloc sacrectomy is a procedure with a high rate of major complications, regardless of tumor histology, often necessitating readmissions and secondary interventions. Long-term survival is associated with considerable morbidity and extensive preoperative counseling should be conducted to discuss the risks and outcome of the procedure.
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