Evidence map›Paper›PMID 40555867›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

New options and techniques in reconstructing the sacrum.

Radek Kaiser, Alessandro Gasbarrini, Stefano Pasini, Anhelina Khadanovich, Gerard Mawhinney, Henk Giele, Jan Stulik, Jeremy Reynolds

Abstract readReview
PubMed Publisher
In one paragraph

Review 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Radek KaiserDepartment of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom. rkaiser@hotmail.cz.
Alessandro GasbarriniDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Stefano PasiniDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Anhelina KhadanovichDepartment of Anatomy, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
Gerard MawhinneyDepartment of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Henk GieleDepartment of Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Jan StulikDepartment of Spinal Surgery, First Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Jeremy ReynoldsDepartment of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSacral 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.

methodsThis article explores innovative approaches to reconstruct the sacrum and restore function in primary and secondary sacral tumours.

resultsBeyond 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.

conclusionBy 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.

Indexed as

Plastic Surgery ProceduresSacrumSpinal NeoplasmsHumansRobotic Surgical Procedures3D printRobotic surgerySacral tumourSacrectomySpino-pelvic fixation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.