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Reconstruction vs. No Reconstruction for Pelvic Resections

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Surgery of Pelvic Bone Tumors

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Abstract

Adequate oncologic resection of pelvic tumors with safe margins is challenging. The late diagnosis and wide spread of these tumors at the time of initial detection, the highly demanding procedures for complete resection of pelvic tumors, and the high rate of complications following these procedures are some of the causative factors for the poor prognosis for these patients. On the other hand, reconstruction of the bone defect must be considered on a case-by-case basis as it is a complex issue with no strong guidelines. The available reconstruction techniques provide better functional results over nonreconstruction since hip and lower limb functions are preserved, but at the expense of a higher complication rate. This chapter will focus on the principles, advantages, and disadvantages of pelvic resections with and without reconstruction.

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References

  1. Mavrogenis A, Soultanis K, Patapis P, Guerra G, Fabbri N, Ruggieri P, et al. Pelvic resections. Orthopedics. 2012;35(2):e232–43.

    Article  PubMed  Google Scholar 

  2. Schwameis E, Dominkus M, Krepler P, Dorotka R, Lang S, Windhager R, Kotz R. Reconstruction of the pelvis after tumor resection in children and adolescents. Clin Orthop Relat Res. 2002;402:220–35.

    Article  Google Scholar 

  3. Karakousis CP, Emrich LJ, Driscoll DL. Variants of hemipelvectomy and their complications. Am J Surg. 1989;158(5):404–8.

    Article  CAS  PubMed  Google Scholar 

  4. Enneking WF. The anatomic considerations in tumor surgery: pelvis. In: Enneking WF, editor. Musculoskeletal tumor surgery, vol. 2. New York: Churchill Livingstone; 1983. p. 483–529.

    Google Scholar 

  5. Frassica FJ, Frassica DA, Pritchard DJ, et al. Ewing sarcoma of the pelvis. Clinicopathological features and treatment. J Bone Joint Surg Am. 1993;75(10):1457–65.

    Article  CAS  PubMed  Google Scholar 

  6. Campanacci M, Capanna R. Pelvic resections: the Rizzoli Institute experience. Orthop Clin North Am. 1991;22(1):65–86.

    Article  CAS  PubMed  Google Scholar 

  7. Windhager R, Karner J, Kutschera HP, Polterauer P, Salzer-Kuntschik M, Kotz R. Limb salvage in periacetabular sarcomas: review of 21 consecutive cases. Clin Orthop Relat Res. 1996;331:265–76.

    Article  Google Scholar 

  8. Conrad EU III, Springfield D, Peabody TD. Pelvis. In: Simon MA, Springfield D, editors. Surgery for bone and soft-tissue tumors. Philadelphia, PA: Lipincott-Raven; 1998. p. 323–41.

    Google Scholar 

  9. Helmberger T. Vena cava filter [in German]. Radiologe. 2007;47:439–42.

    Article  CAS  PubMed  Google Scholar 

  10. Harrington KD. The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis. J Bone Joint Surg Am. 1992;74(3):331–41.

    Article  CAS  PubMed  Google Scholar 

  11. Bruns J, Habermann CR, Rüther W, Delling D. The use of CT derived solid modelling of the pelvis in planning cancer resections. Eur J Surg Oncol. 2010;36:594–8.

    Article  CAS  PubMed  Google Scholar 

  12. Yasko AW, Johnson ME. Surgical management of primary bone sarcomas. Hematol Oncol Clin North Am. 1995;9:719–31.

    Article  CAS  PubMed  Google Scholar 

  13. Gradinger R, Rechl H, Ascherl R, et al. Endoprothetischer Teilersatz des Beckens bei malignen Tumoren. Orthopade. 1993;22:167–73.

    CAS  PubMed  Google Scholar 

  14. Gordley K, Marco R, Klebuc M. Supercharged internal hemipelvectomy that enhances flap perfusion and decreases wound-healing complications. Orthopedics. 2008;31(12).

    Google Scholar 

  15. Dick HM, Strauch RJ. Infection of massive bone allografts. Clin Orthop Relat Res. 1994:46–53.

    Google Scholar 

  16. Wuisman P, Sugihara S. Allograft-Rekonstruktion nach Resektion muskuloskeletaler Tumoren. In: Maligne Knochentumoren, Aktueller Stand der Diagnostik & Therapie. Berlin: Logos Verlag; 1997. p. 93–100.

    Google Scholar 

  17. Knox K, Bitzos I, Granick M, Datiashvili R, Benevenia J, Patterson F. Immediate reconstruction of oncologic hemipelvectomy defects. Ann Plast Surg. 2006;57(2):184–9.

    Article  CAS  PubMed  Google Scholar 

  18. Shih LY, Chen TS, Lo WH. Limb salvage surgery for locally aggressive and malignant bone tumors. J Surg Oncol. 1993;53:154–60.

    Article  CAS  PubMed  Google Scholar 

  19. O’Connor MI. Malignant pelvic tumors: limb-sparing resection and reconstruction. Semin Surg Oncol. 1997;13:49–54.

    Article  PubMed  Google Scholar 

  20. Enneking WF, Dunham WK. Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg Am. 1978;60(6):731–46.

    Article  CAS  PubMed  Google Scholar 

  21. Masterson EL, Davis AM, Wunder JS, Bell RS. Hindquarter amputation for pelvic tumors. Clin Orthop Relat Res. 1998;350:187–94.

    Article  Google Scholar 

  22. Papagelopoulos PJ, Mavrogenis AF, Rose PS, Yaszemski MJ. Amputative sacral resections. In: Sim FH, Choong PFM, Weber KL, editors. Master techniques in orthopaedic surgery: orthopaedic oncology and complex reconstruction. New York: Lippincott Williams & Wilkins; 2011. p. 93–100.

    Google Scholar 

  23. Rose PS, Yaszemski MJ, Dekutoski MB, et al. Classification of spinopelvic resections: oncologic and reconstructive implications. Paper presented at the International Society of Limb Salvage Meeting, Boston, MA, September 24–27; 2009.

    Google Scholar 

  24. Shin KH, Rougraff BT, Simon MA. Oncologic outcomes of primary bone sarcomas of the pelvis. Clin Orthop Relat Res. 1994;304:207–17.

    Article  Google Scholar 

  25. Kawai A, Healey JH, Boland PJ, et al. Prognostic factors for patients with sarcomas of the pelvic bones. Cancer. 1998;82:851–9.

    Article  CAS  PubMed  Google Scholar 

  26. Court C, Bosca L, Le Cesne A, Nordin JY, Missenard G. Surgical excision of bone sarcomas involving the sacroiliac joint. Clin Orthop Relat Res. 2006;451:189–94.

    Article  CAS  PubMed  Google Scholar 

  27. Pollock RC, Skinner JA, Blunn GW, Pringle JA, Briggs TW, Cannon SR. The swing procedure for pelvic ring reconstruction following tumour excision. Eur J Surg Oncol. 2003;29:59–63.

    Article  CAS  PubMed  Google Scholar 

  28. O’Connor MI, Sim FH. Salvage of the limb in the treatment of malignant pelvic tumors. J Bone Joint Surg Am. 1989;71(4):481–94.

    Article  PubMed  Google Scholar 

  29. Beadel GP, McLaughlin CE, Aljassir F, et al. Iliosacral resection for primary bone tumors: is pelvic reconstruction necessary? Clin Orthop Relat Res. 2005;438:22–9.

    Article  PubMed  Google Scholar 

  30. Capanna R, Guernelli N, Ruggieri P. Periacetabular pelvic resections. In: Enneking WF, editor. Limb salvage in musculoskeletal oncology. New York: Churchill Livingstone; 1987. p. 141–6.

    Google Scholar 

  31. Menendez LR, Nichter LS. Reconstructive considerations for limb salvage surgery. Orthop Clin North Am. 1993;24(3):511–21.

    Article  PubMed  Google Scholar 

  32. Yuen A, Ek ET, Choong PF. Research: Is resection of tumours involving the pelvic ring justified? A review of 49 consecutive cases. Int Semin Surg Oncol. 2005;2(1):9.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Guo Z, Li J, Pei GX, Li XD, Wang Z. Pelvic reconstruction with a combined hemipelvic prostheses after resection of primary malignant tumor. Surg Oncol. 2010;19(2):95–105.

    Article  PubMed  Google Scholar 

  34. Guo W, Li D, Tang X, Yang Y, Ji T. Reconstruction with modular hemipelvic prostheses for periacetabular tumor. Clin Orthop Relat Res. 2007;461:180–8.

    Article  PubMed  Google Scholar 

  35. Peterson CA II, Koch LD, Wood MB. Tibia-hindfoot osteomusculocutaneous rotationplasty with calcaneopelvic arthrodesis for extensive loss of bone from the proximal part of the femur. A report of two cases. J Bone Joint Surg Am. 1997;79:1504–9.

    Article  PubMed  Google Scholar 

  36. Nagoya S, Usui M, Wada T, Yamashita T, Ishii S. Reconstruction and limb salvage using a free vascularised fibular graft for periacetabular malignant bone tumours. J Bone Joint Surg Br. 2000;82:1121–4.

    Article  CAS  PubMed  Google Scholar 

  37. Sakuraba M, Kimata Y, Iida H, Beppu Y, Chuman H, Kawai A. Pelvic ring reconstruction with the double-barreled vascularized fibular free flap. Plast Reconstr Surg. 2005;116:1340–5.

    Article  CAS  PubMed  Google Scholar 

  38. Yajima H, Tamai S. Twin-barrelled vascularized fibular grafting to the pelvis and lower extremity. Clin Orthop Relat Res. 1994;303:178–84.

    Article  Google Scholar 

  39. Yu G, Zhang F, Zhou J, Chang S, Cheng L, Jia Y, Li H, Lineaweaver WC. Microsurgical fibular flap for pelvic ring reconstruction after periacetabular tumor resection. J Reconstr Microsurg. 2007;23:137–42.

    Article  PubMed  Google Scholar 

  40. Kollender Y, Shabat S, Bickels J, et al. Internal hemipelvectomy for bone sarcomas in children and young adults: surgical considerations. Eur J Surg Oncol. 2000;26(4):398–404.

    Article  CAS  PubMed  Google Scholar 

  41. Kong GY, Rudiger HA, Ek ET, Morrison WA, Choong PF. Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation. Int Semin Surg Oncol. 2008;5:1.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Fuchs B, O’Connor MI, Kaufman KR, Padgett DJ, Sim FH. Iliofemoral arthrodesis and pseudarthrosis: a long-term functional outcome evaluation. Clin Orthop Relat Res. 2002;397:29–35.

    Article  Google Scholar 

  43. Bruns J, Luessenhop S, Behrens P. Cost analysis of three different surgical procedures for treatment of a pelvic tumour. Langenbecks Arch Surg. 1998;383:359–63.

    Article  CAS  PubMed  Google Scholar 

  44. Salzer M. Hemipelvectomy (amputation interileo-abdominalis, hindquarter amputation). Wien Klin Wochenschr. 1965;77:330–1.

    CAS  PubMed  Google Scholar 

  45. Schwartz AJ, Kiatisevi P, Eilber FC, Eilber FR, Eckardt JJ. The Friedman-Eilber resection arthroplasty of the pelvis. Clin Orthop Relat Res. 2009;467(11):2825–30.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Takami M, Ieguchi M, Takamatsu K, Kitano T, Aono M, Ishida T, Yamano Y. Functional evaluation of flail hip joint after periacetabular resection of the pelvis. Osaka City Med J. 1997;43:173–83.

    CAS  PubMed  Google Scholar 

  47. Gebert C, Gosheger G, Winkelmann W. Hip transposition as a universal surgical procedure for periacetabular tumors of the pelvis. J Surg Oncol. 2009;99(3):169–72.

    Article  PubMed  Google Scholar 

  48. Winkelmann W. A new surgical method in malignant tumors of the ilium. Z Orthop Ihre Grenzgeb. 1988;126:671–4.

    Article  CAS  PubMed  Google Scholar 

  49. Rödl R, Gosheger G, Leidinger B, Lindner N, Winkelmann W, Ozaki T. Correction of leg-length discrepancy after hip transposition. Clin Orthop Relat Res. 2003;416:271–7.

    Article  Google Scholar 

  50. Hillmann A, Hoffmann C, Gosheger G, Rödl R, Winkelmann W, Ozaki T. Tumors of the pelvis: complications after reconstruction. Arch Orthop Trauma Surg. 2003;123:340–4.

    Article  CAS  PubMed  Google Scholar 

  51. Hoffmann C, Gosheger G, Gebert C, Jürgens H, Winkelmann W. Functional results and quality of life after treatment of pelvic sarcomas involving the acetabulum. J Bone Joint Surg Am. 2006;88:575–82.

    CAS  PubMed  Google Scholar 

  52. Bell RS, Davis AM, Wunder JS, Buconjic T, McGoveran B, Gross AE. Allograft reconstruction of the acetabulum after resection of stage-IIB sarcoma. Intermediate-term results. J Bone Joint Surg Am. 1997;79:1663–74.

    Article  CAS  PubMed  Google Scholar 

  53. Delloye C, de Nayer P, Allington N, Munting E, Coutelier L, Vincent A. Massive bone allografts in large skeletal defects after tumor surgery: a clinical and microradiographic evaluation. Arch Orthop Trauma Surg. 1988;107:31–41.

    Article  CAS  PubMed  Google Scholar 

  54. Langlais F, Lambotte JC, Thomazeau H. Long-term results of hemipelvis reconstruction with allografts. Clin Orthop Relat Res. 2001;388:178–86.

    Article  Google Scholar 

  55. Mankin HJ, Doppelt S, Tomford W. Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res. 1983;174:69–86.

    Article  Google Scholar 

  56. Ozaki T, Hillmann A, Bettin D, Wuisman P, Winkelmann W. High complication rates with pelvic allografts. Experience of 22 sarcoma resections. Acta Orthop Scand. 1996;67:333–8.

    Article  CAS  PubMed  Google Scholar 

  57. Satcher RL Jr, O’Donnell RJ, Johnston JO. Reconstruction of the pelvis after resection of tumors about the acetabulum. Clin Orthop Relat Res. 2003;409:209–17.

    Article  Google Scholar 

  58. Von Sys G, Uyttendaele D, Poffyn B, Verdonk R, Verstraete L. Extracorporeally irradiated autografts in pelvic reconstruction after malignant tumour resection. Int Orthop. 2002;26:174–8.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Gradinger R, Rechl H, Hipp E. Pelvic osteosarcoma. Resection, reconstruction, local control, and survival statistics. Clin Orthop Relat Res. 1991;270:149–58.

    Article  Google Scholar 

  60. Harrington KD, Johnston JO, Kaufer HN, Luck JV Jr, Moore TM. Limb salvage and prosthetic joint reconstruction for low-grade and selected high-grade sarcomas of bone after wide resection and replacement by autoclaved [corrected] autogenetic grafts. Clin Orthop Relat Res. 1986;211:180–214. Erratum in: Clin Orthop 216:312.

    Article  Google Scholar 

  61. Mnaymneh W, Malinin T, Mnaymneh LG, Robinson D. Pelvic allograft. A case report with a follow-up evaluation of 5.5 years. Clin Orthop Relat Res. 1990;255:128–32.

    Article  Google Scholar 

  62. Friedlaender GE. Bone allografts: the biological consequences of immunological events. J Bone Joint Surg Am. 1991;73:1119–22.

    Article  CAS  PubMed  Google Scholar 

  63. Tomford WW, Thongphasuk J, Mankin HJ, Ferraro MJ. Frozen musculoskeletal allografts. A study of the clinical incidence and causes of infection associated with their use. J Bone Joint Surg Am. 1990;72:1137–43.

    Article  CAS  PubMed  Google Scholar 

  64. Zhang HY, Thongtrangan I, Balabhadra RS, et al. Surgical techniques for total sacrectomy and spinopelvic reconstruction. Neurosurg Focus. 2003;15(2):E5.

    Article  PubMed  Google Scholar 

  65. Hornicek FJ, Gebhard MC, Tomford WW, et al. Factors affecting nonunion of the allograft-host junction. Clin Orthop Relat Res. 2001;382:87–98.

    Article  Google Scholar 

  66. Yoshida Y, Osaka S, Tokuhashi Y. Analysis of limb function after various reconstruction methods according to tumor location following resection of pediatric malignant bone tumors. World J Surg Oncol. 2010;19:39.

    Article  Google Scholar 

  67. Delloye C. Bone banking in orthopaedic surgery. In: Gallinaro P, Lemaire R, editors. Surgical techniques in orthopaedics and traumatology. Paris: Elsevier; 2000. p. 55–61.

    Google Scholar 

  68. Delloye C, Banse X, Brichard B, Docquier PL, Cornu O. Pelvic reconstruction with a structural pelvic allograft after resection of a malignant bone tumor. J Bone Joint Surg Am. 2007;89:579–87.

    Article  PubMed  Google Scholar 

  69. Wafa H, Grimer R, Jeys L, Abudu A, Carter S, Tillman R. The use of extracorporeally irradiated autografts in pelvic reconstruction following tumour resection. Bone Joint J. 2014;96-B(10):1404–10.

    Article  CAS  PubMed  Google Scholar 

  70. Aboulafia AJ, Buch R, Mathews J, Li W, Malawer MM. Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors. Clin Orthop Relat Res. 1995;314:203–13.

    Google Scholar 

  71. Angelini A, Kotrych D, Trovarelli G, Szafrański A, Bohatyrewicz A, Ruggieri P. Analysis of principles inspiring design of three-dimensional-printed custom-made prostheses in two referral centres. Int Orthop. 2020;44(5):829–37. https://doi.org/10.1007/s00264-020-04523-y. Epub 2020 Mar 13.

    Article  PubMed  Google Scholar 

  72. Van der Lei B, Hoekstra HJ, Veth RP, Ham SJ, Oldhoff J, Schraffordt Koops H. The use of the saddle prosthesis for reconstruction of the hip joint after tumor resection of the pelvis. J Surg Oncol. 1992;50:216–9.

    Article  PubMed  Google Scholar 

  73. Nieder E, Elson RA, Engelbrecht E, Kasselt MR, Keller A, Steinbrink K. The saddle prosthesis for salvage of the destroyed acetabulum. J Bone Joint Surg Br. 1990;72:1014–22.

    Article  CAS  PubMed  Google Scholar 

  74. Angelini A, Trovarelli G, Berizzi A, Pala E, Breda A, Ruggieri P. Three-dimension-printed custom-made prosthetic reconstructions: from revision surgery to oncologic reconstructions. Int Orthop. 2019;43(1):123–32. https://doi.org/10.1007/s00264-018-4232-0.

    Article  PubMed  Google Scholar 

  75. Schoellner C, Schoellner D. Pedestal cup operation in acetabular defects after hip cup loosening. A progress report. Z Orthop Ihre Grenzgeb. 2000;138:215–21.

    Article  CAS  PubMed  Google Scholar 

  76. Uchida A, Myoui A, Araki N, Yoshikawa H, Ueda T, Aoki Y. Prosthetic reconstruction for periacetabular malignant tumors. Clin Orthop Relat Res. 1996;326:238–45.

    Article  Google Scholar 

  77. Walker RH. Pelvic reconstruction/total hip arthroplasty for metastatic acetabular insufficiency. Clin Orthop Relat Res. 1993;294:170–5.

    Article  Google Scholar 

  78. Windhager R, Welkerling H, Kastner N, Krepler P. Surgical therapy of pelvis and spine in primary malignant bone tumors. Orthopade. 2003;32:971–82.

    Article  CAS  PubMed  Google Scholar 

  79. Dai KR, Yan MN, Zhu ZA, Sun YH. Computer-aided custom-made hemipelvic prosthesis used in extensive pelvic lesions. J Arthroplast. 2007;22(7):981–6.

    Article  Google Scholar 

  80. Wirbel RJ, Schulte M, Mutschler WE. Surgical treatment of pelvic sarcomas: oncologic and functional outcome. Clin Orthop Relat Res. 2001;390:190–205.

    Article  Google Scholar 

  81. Cottias P, Jeanrot C, Vinh TS, Tomeno B, Anract P. Complications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors. J Surg Oncol. 2001;78:90–100.

    Article  CAS  PubMed  Google Scholar 

  82. Jansen JA, van de Sande MA, Dijkstra PD. Poor long-term clinical results of saddle prosthesis after resection of periacetabular tumors. Clin Orthop Relat Res. 2013;471:324–31.

    Article  CAS  PubMed  Google Scholar 

  83. Toma C, Kubista B, Funovics P, Abdolvahab F, Dominkus M, Kotz R. Pedestal cups for acetabular and pelvic defects following tumor resection. A new approach to an old problem. Abstract book, 13th ISOLS Korea; 2005. p. 148.

    Google Scholar 

  84. Bus MP, Boerhout EJ, Bramer JA, Dijkstra PD. Clinical outcome of pedestal cup endoprosthetic reconstruction after resection of a peri-acetabular tumour. Bone Joint J. 2014;96:1706–12.

    Article  PubMed  Google Scholar 

  85. Barrientos-Ruiz I, Ortiz-Cruz E, Peleteiro-Pensado M. Reconstruction after hemipelvectomy with the ice-cream cone prosthesis: what are the short-term clinical results? Clin Orthop Relat Res. 2016;475:735–41.

    Article  PubMed Central  Google Scholar 

  86. Hipfl C, Stihsen C, Puchner S, Kaider A, Dominkus M, Funovics P, et al. Pelvic reconstruction following resection of malignant bone tumours using a stemmed acetabular pedestal cup. Bone Joint J. 2017;99-B:841–8.

    Article  CAS  PubMed  Google Scholar 

  87. Rudert M, Holzapfel BM, Pilge H, Rechl H, Gradinger R. Partial pelvic resection (internal hemipelvectomy) and endoprosthetic replacement in periacetabular tumors. Oper Orthop Traumatol. 2012;24:196–214.

    Article  CAS  PubMed  Google Scholar 

  88. Shao Q, Yan X, Sun J, Xu T. Internal hemipelvectomy with reconstruction for primary pelvic neoplasm: a systematic review. ANZ J Surg. 2014;85:553–60.

    Article  PubMed  Google Scholar 

  89. Bus MP, Szafranski A, Sellevold S, Goryn T, Jutte P, Bramer J, et al. LUMiC® endoprosthetic reconstruction after periacetabular tumor resection: short-term results. Clin Orthop Relat Res. 2016;475:686–95.

    Article  PubMed Central  Google Scholar 

  90. McMinn DJ, Grigoris P, Roberts P. A stemmed acetabular cup for complex hip arthroplasty. J Bone Joint Surg Br. 1993;75-B:123.

    Google Scholar 

  91. Stihsen C, Hipfl C, Kubista B, et al. Review of the outcomes of complex acetabular reconstructions using a stemmed acetabular pedestal component. Bone Joint J. 2016;98-B:772–9.

    Article  CAS  PubMed  Google Scholar 

  92. Fisher NE, Patton JT, Grimer RJ, et al. Ice-cream cone reconstruction of the pelvis: a new type of pelvic replacement: early results. J Bone Joint Surg Br. 2011;93-B:684–8.

    Article  Google Scholar 

  93. Issa S, Biau D, Babinet A, Dumaine V, Le Hanneur M, Anract P. Pelvic reconstructions following peri-acetabular bone tumour resections using a cementless ice-cream cone prosthesis with dual mobility cup. Int Orthop. 2018;42:1987–97.

    Article  PubMed  Google Scholar 

  94. Bohm P, Springfeld R, Springer H. Re-implantation of autoclaved bone segments in musculoskeletal tumor surgery. Clinical experience in 9 patients followed for 1.1–8.4 years and review of the literature. Arch Orthop Trauma Surg. 1998;118:57–65.

    Article  CAS  PubMed  Google Scholar 

  95. Chen TH, Chen WM, Huang CK. Reconstruction after intercalary resection of malignant bone tumours: comparison between segmental allograft and extracorporeally irradiated autograft. J Bone Joint Surg Br. 2005;87:704–9.

    Article  CAS  PubMed  Google Scholar 

  96. Guest CB, Bell RS, Davis A, Langer F, Ling H, Gross AE, Czitrom A. Allograft-implant composite reconstruction following periacetabular sarcoma resection. J Arthroplast. 1990;5(Suppl):S25–34.

    Article  Google Scholar 

  97. Jeon DG, Kim MS, Cho WH, Song WS, Lee SY. Reconstruction with pasteurized autograft total hip prosthesis composite for periacetabular tumors. J Surg Oncol. 2007;96:493–502.

    Article  PubMed  Google Scholar 

  98. Manabe J, Ahmed AR, Kawaguchi N, Matsumoto S, Kuroda H. Pasteurized autologous bone graft in surgery for bone and soft tissue sarcoma. Clin Orthop Relat Res. 2004;419:258–66.

    Article  Google Scholar 

  99. Tsuchiya H, Wan SL, Sakayama K, Yamamoto N, Nishida H, Tomita K. Reconstruction using an autograft containing tumour treated by liquid nitrogen. J Bone Joint Surg Br. 2005;87:218–25.

    Article  CAS  PubMed  Google Scholar 

  100. Yamamoto N, Tsuchiya H, Tomita K. Effects of liquid nitrogen treatment on the proliferation of osteosarcoma and the biomechanical properties of normal bone. J Orthop Sci. 2003;8:374–80.

    Article  PubMed  Google Scholar 

  101. Bhattacharya S, Biswas S. Post hemipelvectomy incisional hernia. Hernia. 2008;13(4):435–7.

    Article  PubMed  Google Scholar 

  102. Die Trill J, Madrid JM, Ferrero E, et al. Posthemipelvectomy hernia. Hernia. 2005;9(4):375–7.

    Article  CAS  PubMed  Google Scholar 

  103. Mavrogenis AF, Patapis P, Kostopanagiotou G, Papagelopoulos PJ. Tumors of the sacrum. Orthopedics. 2009;32(5):342.

    PubMed  Google Scholar 

  104. Baratti D, Gronchi A, Pennacchioli E, et al. Chordoma: natural history and results in 28 patients treated at a single institution. Ann Surg Oncol. 2003;10:291–6.

    Article  CAS  PubMed  Google Scholar 

  105. Wuisman P, Lieshout O, Sugihara S, van Dijk M. Total sacrectomy and reconstruction: oncologic and functional outcome. Clin Orthop Relat Res. 2000;381:192–203.

    Article  Google Scholar 

  106. Miles WK, Chang DW, Kroll SS, et al. Reconstruction of large sacral defects following total sacrectomy. Plast Reconstr Surg. 2000;105:2387–94.

    Article  CAS  PubMed  Google Scholar 

  107. Fourney DR, Gokaslan ZL. Current management of sacral chordoma. Neurosurg Focus. 2003;15(2):E9.

    Article  PubMed  Google Scholar 

  108. Localio SA, Eng K, Ranson JH. Abdominosacral approach for retrorectal tumors. Ann Surg. 1980;191:555–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  109. Stener B, Gunterberg B. High amputation of the sacrum for extirpation of tumors. Principles and technique. Spine. 1978;3:351–66.

    Article  CAS  PubMed  Google Scholar 

  110. Biagini R, Ruggieri P, Mercuri M, et al. Neurologic deficit after resection of the sacrum. Chir Organi Mov. 1997;82:357–72.

    CAS  PubMed  Google Scholar 

  111. Nakai S, Yoshizawa H, Kobayashi S, Maeda K, Okumura Y. Anorectal and bladder function after sacrifice of the sacral nerves. Spine. 2000;25:2234–9.

    Article  CAS  PubMed  Google Scholar 

  112. Todd LT Jr, Yaszemski MJ, Currier BL, Fuchs B, Kim CW, Sim FH. Bowel and bladder function after major sacral resection. Clin Orthop Relat Res. 2002;397:36–9.

    Article  Google Scholar 

  113. Gokaslan ZL, Romsdahl MM, Kroll SS, et al. Total sacrectomy and Galveston L-rod reconstruction for malignant neoplasms. Technical note. J Neurosurg. 1997;87:781–7.

    Article  CAS  PubMed  Google Scholar 

  114. Shikata J, Yamamuro T, Kotoura Y, Mikawa Y, Iida H, Maetani S. Total sacrectomy and reconstruction for primary tumors. Report of two cases. J Bone Joint Surg Am. 1988;70:122–5.

    Article  CAS  PubMed  Google Scholar 

  115. Kuklo TR, Bridwell KH, Lewis SJ, et al. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine. 2001;26:1976–83.

    Article  CAS  PubMed  Google Scholar 

  116. Gunterberg B, Romanus B, Stener B. Pelvic strength after major amputation of the sacrum: an experimental study. Acta Orthop Scand Suppl. 1976;47:635–42.

    Article  CAS  Google Scholar 

  117. Hüfner T, Kfuri M Jr, Galanski M, et al. New indications for computer-assisted surgery: tumor resection in the pelvis. Clin Orthop Relat Res. 2004;426:219–25.

    Article  Google Scholar 

  118. Randall R, Bruckner J, Lloyd C, Pohlman TH, Conrad EU III. Sacral resection and reconstruction for tumors and tumor-like conditions. Orthopedics. 2005;28:307–13.

    Article  PubMed  Google Scholar 

  119. Shen FH, Harper M, Foster WC, Marks I, Arlet V. A novel “four-rod technique” for lumbopelvic reconstruction: theory and technical considerations. Spine. 2006;31:1395–401.

    Article  PubMed  Google Scholar 

  120. Ruggieri P, Angelini A, Ussia G, Montalti M, Mercuri M. Surgical margins and local control in resection of sacral chordomas. Clin Orthop Relat Res. 2010;468(11):2939–47.

    Article  PubMed  PubMed Central  Google Scholar 

  121. Michel A. Total sacrectomy and lower spine resection for giant cell tumor: one case report. Chir Organi Mov. 1990;75:117–8.

    CAS  PubMed  Google Scholar 

  122. Simpson AH, Porter A, Davis A, Griffi NA, McLeod RS, Bell RS. Cephalad sacral resection with a combined extended ilioinguinal and posterior approach. J Bone Joint Surg Am. 1995;77:405–11.

    Article  CAS  PubMed  Google Scholar 

  123. Guo Y, Yadav R. Improving function after total sacrectomy by using a lumbar-sacral corset. Am J Phys Med Rehabil. 2002;81:72–6.

    Article  PubMed  Google Scholar 

  124. Dickey ID, Hugate RR Jr, Fuchs B, Yaszemski MJ, Sim FH. Reconstruction after total sacrectomy: early experience with a new surgical technique. Clin Orthop Relat Res. 2005;438:42–50.

    Article  PubMed  Google Scholar 

  125. Doita M, Harada T, Iguchi T, et al. Total, sacrectomy and reconstruction for sacral tumors. Spine. 2003;28:E296–301.

    Article  PubMed  Google Scholar 

  126. Jackson RJ, Gokaslan ZL. Spinal-pelvic fixation in patients with lumbosacral neoplasms. J Neurosurg. 2000;92:61–70.

    CAS  PubMed  Google Scholar 

  127. Tomita K, Tsuchiya H. Total sacrectomy and reconstruction for huge sacral tumors. Spine. 1990;15:1223–7.

    Article  CAS  PubMed  Google Scholar 

  128. Blatter G, Halter Ward EG, Ruflin G, Jeanneret B. The problem of stabilization after sacrectomy. Arch Orthop Trauma Surg. 1994;114:40–2.

    Article  CAS  PubMed  Google Scholar 

  129. Fuchs B, Yaszemski MJ, Sim FH. Combined posterior pelvis and lumbar spine resection for sarcoma. Clin Orthop Relat Res. 2002;397:12–8.

    Article  Google Scholar 

  130. Guo W, Li D, Tang X, Ji T. Surgical treatment of pelvic chondrosarcoma involving periacetabulum. J Surg Oncol. 2010;101:160–5.

    Article  PubMed  Google Scholar 

  131. Yari P, Dijkstra P, Geertzen J. Functional outcome of hip disarticulation and hemipelvectomy: a cross-sectional national descriptive study in the Netherlands. Clin Rehabil. 2008;22(12):1127–33.

    Article  PubMed  Google Scholar 

  132. Ruggieri P, Mavrogenis AF, Angelini A, Mercuri M. Metastases of the pelvis: does resection improve survival? Orthopedics. 2011;34(7):e236–44.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

    Andreas F. Mavrogenis, Dimitrios Papadopoulos, Andreas G. Tsantes & Panayiotis J. Papagelopoulos

  2. Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

    Andrea Angelini & Pietro Ruggieri

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  1. Andreas F. Mavrogenis
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  2. Dimitrios Papadopoulos
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  3. Andreas G. Tsantes
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  4. Andrea Angelini
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  5. Panayiotis J. Papagelopoulos
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  6. Pietro Ruggieri
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Correspondence to Pietro Ruggieri .

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  1. Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

    Pietro Ruggieri

  2. Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

    Andrea Angelini

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Mavrogenis, A.F., Papadopoulos, D., Tsantes, A.G., Angelini, A., Papagelopoulos, P.J., Ruggieri, P. (2021). Reconstruction vs. No Reconstruction for Pelvic Resections. In: Ruggieri, P., Angelini, A. (eds) Surgery of Pelvic Bone Tumors. Springer, Cham. https://doi.org/10.1007/978-3-030-77007-5_15

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