CASE REPORTS
JOURNAL ARTICLE
REVIEW
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Neurosurgical Management of Sacral Tumors: Review of the Literature and Operative Nuances.

World Neurosurgery 2018 August
BACKGROUND: Sacral tumors present a significant challenge to the spine surgeon. As new techniques have evolved in recent years, these lesions have become more amenable to aggressive surgical treatment. Although sacral tumors make up only a small minority of spinal tumors, their surgical management warrants special consideration.

METHODS: Based on our experience, we highlight 3 important surgical nuances specifically for the treatment of sacral tumors: preservation and maximization of neurologic function, protection of ventral abdominal and pelvic structures, and lumbopelvic fixation.

RESULTS: Two cases of patients with sacral tumors treated at our institution are presented to illustrate these points. Both patients had successful postoperative courses, and remained pain free, well-fixated, and neurologically intact at 3-4 month follow-up. They had no evidence of biomechanical instability.

CONCLUSIONS: To ensure a successful outcome, a goal-directed, methodical approach is required.

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