骶骨肿瘤切除后重建的临床进展

Clinical research progress on reconstruction after sacral tumor resection

骶骨肿瘤相对少见,辅助治疗效果不确切。全骶骨肿瘤切除是治疗的主要手段,但全骶骨肿瘤切除常常导致骨盆环不稳,因此,术后如何重建腰骶稳定性是手术治疗骶骨肿瘤成功的关键所在。目前文献已报道多种重建方式,包括三角框架重建装置,髂骨棒和髂骨螺钉,改良Galveston,假体置换等。作者就骶骨肿瘤切除术后重建方式及术后评价进行综述。

Tumors of the sacrum are rare. The valve of adjuvant is uncertain, and en bloc tumor resection remains the primary mode of treatment. But en bloc tumor resectiong often leads to unstability of the pelvic ring. Therefore, the most factor providing the successful outcome in the management of sacral tumor is how to establish stability in the lumbo - sacrai junction. The various spinopelvic reconstruction techniques are reported in the literature. This includes various methods triangular frame reconstruction, or lilac rod or iliac screw fixation, modified galveston, custom - made prosthesis and so on. The authors review the modes of reconstruction after sacral tumor resection and discuss the outcomes.