- Tarlov cysts: a study of 10 cases with review of the literature
J M Voyadzis
Department of Neurosurgery and Pathology, Georgetown University Medical Center, Washington, DC, USA
J Neurosurg 95:25-32. 2001
..CONCLUSIONS: Large cysts (> 1.5 cm) and the presence of associated radicular symptoms strongly correlate with excellent outcome. Tarlov cysts may result from increased hydrostatic pressure and trauma...
- The effect of sacral fracture malreduction on the safe placement of iliosacral screws
Mark C Reilly
Department of Orthopaedic Surgery, New Jersey Medical School, Newark, New Jersey 07103, USA
J Orthop Trauma 20:S37-43. 2006
..To determine the effects of cranial displacement on the safe placement of iliosacral screws for zone II sacral fractures...
- Diffuse-type giant cell tumor/pigmented villonodular synovitis arising in the sacrum: malignant form
Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Higashi ku, Fukuoka, Japan surgpath med kyushi u ac jp
Pathol Int 57:627-31. 2007
..Herein is reported a case of diffuse-type GCT/PVNS involving the sacrum and the fifth lumbar vertebra, in which the patient developed regional lymph node swelling after recurrence...
- A homeobox gene, HLXB9, is the major locus for dominantly inherited sacral agenesis
A J Ross
Human Genetics Unit, School of Biochemistry and Genetics, University of Newcastle upon Tyne, UK
Nat Genet 20:358-61. 1998
Partial absence of the sacrum is a rare congenital defect which also occurs as an autosomal dominant trait; association with anterior meningocoele, presacral teratoma and anorectal abnormalities constitutes the Currarino triad (MIM 176450)..
- Lumbosacral chordoma. Prognostic factors and treatment
E Y Cheng
Department of Orthopaedic Surgery, University of Minnesota Cancer Center, Minneapolis, USA
Spine (Phila Pa 1976) 24:1639-45. 1999
- The sagittal anatomy of the sacrum among young adults, infants, and spondylolisthesis patients
Service de Reeducation Neurologique, Unité Neuro Orthopédie et Scoliose et GRUBR Groupe de Recherche Universitaire de Biomécanique Rachidienne, Hopital Raymond Poincare, 92380 Garches, France
Eur Spine J 11:119-25. 2002
..The angle of incidence has also been shown to depend partly on the sagittal anatomy of sacrum, which is established in childhood while learning to stand and walk...
- Percutaneous iliosacral screw fixation in S1 and S2 for posterior pelvic ring injuries: technique and perioperative complications
Department of Surgery, Division of Trauma Surgery, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland
Arch Orthop Trauma Surg 131:809-13. 2011
..The objective of this study was to describe the technique for screws in S1 and S2 using conventional C-arm and to evaluate perioperative complications...
- Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance
G P Konin
Department of Radiology, North Shore University Hospital, Manhasset, New York 11030, USA
AJNR Am J Neuroradiol 31:1778-86. 2010
..In this article, each of these issues will be addressed with attention to identifying and correctly numbering LSTVs as well as detecting imaging findings related to the genesis of low back pain...
- Preoperative gait comparisons between adults undergoing long spinal deformity fusion surgery (thoracic to L4, L5, or sacrum) and controls
J R Engsberg
Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri 63110, USA
Spine (Phila Pa 1976) 26:2020-8. 2001
..This investigation compared the gait of revision and primary spinal deformity patients about to undergo surgical reconstruction with that of a group of able-bodied controls...
- Wide resection of sacral chordoma via a posterior approach
Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
Int Orthop 36:607-12. 2012
..The study was carried out to report the results of wide resection in sacral chordoma using a posterior approach and gauze packing technique...
- Minimally invasive axial presacral L5-S1 interbody fusion: two-year clinical and radiographic outcomes
William D Tobler
The Christ Hospital Medical Office Building, Cincinnati, OH, USA
Spine (Phila Pa 1976) 36:E1296-301. 2011
..Retrospective case series...
- Reconstruction of extensive defects from posterior en bloc resection of sacral tumors with human acellular dermal matrix and gluteus maximus myocutaneous flaps
Hormuzdiyar H Dasenbrock
School of Medicine, Johns Hopkins University, Baltimore, Maryland 21287, USA
Neurosurgery 69:1240-7. 2011
..However, reconstruction of the resultant extensive soft-tissue defects is challenging because a vertical rectus abdominis myocutaneous flap is not harvested...
- The gluteus maximus muscle flap for reconstruction of sacral chordoma defects
Poh Koon Koh
Department of Plastic Surgery, Singapore General Hospital, Singapore
Ann Plast Surg 53:44-9. 2004
..A longitudinally split flap was used for secondary reconstruction of a partially obliterated defect (patient 4). Over a mean follow-up period of 8 months, there was no wound breakdown and all patients were ambulant...
- Lumbar motion segment pathology adjacent to thoracolumbar, lumbar, and lumbosacral fusions
J D Schlegel
Department of Orthopedic Surgery, University of Utah, School of Medicine, Salt Lake City, USA
Spine (Phila Pa 1976) 21:970-81. 1996
..The segment adjacent to the adjacent segment was almost as likely to breakdown. Sagittal and coronal alignment appeared to play a role in adjacent abnormality. Good outcomes are evident in 70% of cases...
- Comparative study of laparoscopic L5-S1 fusion versus open mini-ALIF, with a minimum 2-year follow-up
Sang Ki Chung
Department of Neurosurgery and General Surgery, Wooridul Spine Hospital, 47 4 Chungdam dong Kangnam gu, 135 100 Seoul, Korea
Eur Spine J 12:613-7. 2003
..The fusion rate was 91% in both groups. The laparoscopic ALIF for L5-S1 showed similar clinical and radiological outcome when compared with open mini-ALIF, but significant advantages were not identified, despite its technical difficulty...
- Reconstruction after extirpation of sacral malignancies
University of Miami School of Medicine, DeWitt Daughtry Department of Surgery, FL, USA
Ann Plast Surg 51:126-9. 2003
..The authors' experience suggests that this combination of techniques is a reliable approach for reconstruction of these extensive surgical defects...
- Reconstructive strategies for partial sacrectomy defects based on surgical outcomes
Patrick B Garvey
Department of Plastic Surgery, University of Texas M D Anderson Cancer Center, Houston, Texas 77030, USA
Plast Reconstr Surg 127:190-9. 2011
..The purpose of this study was to determine what factors best guide selection of reconstructive techniques following partial sacrectomy to optimize outcomes...
- Surgical results of sacral perineural (Tarlov) cysts
Department of Orthopaedic Surgery, Okayama University Hospital, Okayama 700 8558, Japan
Acta Med Okayama 60:65-70. 2006
..Two (17%) of 12 patients experienced no significant improvement. In one of these patients, the filling defect was negative. In conclusion, a positive filling defect may become an indicator of good treatment outcomes...
- Trans-sacral fixation for failed posterior fixation of the pelvic ring
Paul E Beaule
Division of Orthopaedics, University of Ottawa, Ottawa, Canada
Arch Orthop Trauma Surg 126:49-52. 2006
..e. fixation from iliac wing to the other traversing the body of S1) may be necessary. The purpose of our study was to describe our early experience and describe the surgical technique...
- Technique and results of fixation to the sacrum with iliosacral screws
J P Farcy
New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York
Spine (Phila Pa 1976) 17:S190-5. 1992
..screw fixation, as well as a retrospective review of 28 consecutive patients who had spine fusion to the sacrum with iliosacral screws, with a minimum follow-up of 2 years. The study included 6 male and 22 female patients...
- The effect of C-arm malrotation on iliosacral screw placement
Department of Orthopedic Surgery, University of California at Davis, Sacramento, California 95817, USA
J Orthop Trauma 21:427-34. 2007
..We sought to determine whether inaccurate C-arm positioning could create images that lead to inaccurate interpretation of iliosacral screw positions...
- New percutaneous access method for minimally invasive anterior lumbosacral surgery
University of Minnesota, Minneapolis, Minnesota 55424, USA
J Spinal Disord Tech 17:21-8. 2004
..Custom instruments were directed under fluoroscopic guidance along the midline of the anterior sacrum to the surface of the sacral promontory where an axial bore was created into the lower lumbar vertebral bodies and ..
- Pelvic fixation in spine surgery. Historical overview, indications, biomechanical relevance, and current techniques
Dept of Orthopedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue A672, Baltimore, MD 21224, USA
J Bone Joint Surg Am 87:89-106. 2005
- Complications of pedicle screws in lumbar and lumbosacral fusions in 105 consecutive primary operations
P C Jutte
Department of Orthopaedic Surgery, Isala Klinieken, locatie Weezenlanden, Zwolle, The Netherlands
Eur Spine J 11:594-8. 2002
..To avoid screw breakage and subsequent loss of correction, anterior support should be provided, through either posterior or anterior lumbar interbody fusion (PLIF or ALIF) techniques, in reduced spondylolisthesis L5-S1...
- Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum: prevalence and risk factor analysis of 144 cases
Yongjung J Kim
Washington University Medical Center, St Louis, MO, USA
Spine (Phila Pa 1976) 31:2329-36. 2006
- A Cretaceous terrestrial snake with robust hindlimbs and a sacrum
Museo Argentino de Ciencias Naturales Bernardino Rivadavia, A Gallardo 470, Buenos Aires 1405, Argentina
Nature 440:1037-40. 2006
..Here we report a fossil snake with a sacrum supporting a pelvic girdle and robust, functional legs outside the ribcage...
- Microsurgical excision of symptomatic sacral perineurial cysts: a study of 15 cases
Department of Neurosurgery, Faculty of Medicine, Saarland University, Homburg Saar, Germany
Surg Neurol 59:101-5; discussion 105-6. 2003
..In this retrospective study the efficacy of microsurgical cyst resection with duraplasty is evaluated...
- Compensatory spinopelvic balance over the hip axis and better reliability in measuring lordosis to the pelvic radius on standing lateral radiographs of adult volunteers and patients
R P Jackson
Spine Surgery Service, North Kansas City Hospital, Missouri, USA
Spine (Phila Pa 1976) 23:1750-67. 1998
..obtained using a C7 plumb line, and segmental angulations of the spinal vertebrae, including lordosis to the sacrum, have been reported...
- Anatomy of the percutaneous presacral space for a novel fusion technique
Philip S Yuan
Memorial Orthopaedic Surgical Group, Long Beach, CA, USA
J Spinal Disord Tech 19:237-41. 2006
..The objective was to evaluate the safety of a paracoccygeal approach to the axial lumbosacral spine and determine structures that could potentially be injured...
- Outcome and complications of long fusions to the sacrum in adult spine deformity: luque-galveston, combined iliac and sacral screws, and sacral fixation
University of California, San Francisco, USA
Spine (Phila Pa 1976) 27:776-86. 2002
A retrospective study of adults with long fusion to the sacrum using three different fixations was performed.
- The sacrum: pathologic spectrum, multimodality imaging, and subspecialty approach
Department of Radiology, Winthrop University Hospital, 259 First St, Mineola, NY 11501, USA
Radiographics 21:83-104. 2001
The sacrum is a structure that is imaged by both general and subspecialty radiologists. A wide variety of disease processes can involve the sacrum either focally or as part of a systemic process...
- Vertically unstable pelvic fractures fixed with percutaneous iliosacral screws: does posterior injury pattern predict fixation failure?
Damian R Griffin
Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, England
J Orthop Trauma 17:399-405. 2003
..fractures and particularly to test the hypothesis that fixations in which the posterior injury is a vertical fracture of the sacrum are more likely to fail than fixations with dislocations or fracture-dislocations of the sacroiliac joint.
- Sacral insufficiency fracture
S P Blake
Department of Radiology, South Infirmary Victoria Hospital, Old Blackrock Road, Cork, Ireland
Br J Radiol 77:891-6. 2004
Insufficiency fractures of the sacrum are not uncommon and usually occur in osteoporotic bone with minimal or unremembered trauma...
- Inadvertent intraforaminal iliosacral screw placement despite apparent appropriate positioning on intraoperative fluoroscopy
H C Sagi
Department of Orthopaedics, University Medical Center 4th Floor, University of California San Francisco, Fresno Medical Education Program, 445 South Cedar Avenue, Fresno, CA 93711, USA
J Orthop Trauma 19:130-3. 2005
..Because of the tangential nature of the S1 foramen, slight posterior placement of the screw into the S1 body and not into the promontory resulted in violation of the foramen despite it being above the cortical shadow on the outlet view...
- Anatomy of the presacral venous plexus: implications for rectal surgery
Laboratoire d Anatomie Normale, Faculté de Médecine de Nice, 06000 Nice, France
Surg Radiol Anat 26:355-8. 2004
..and median sacral veins, and courses into the pelvic fascia covering the anterior aspect of the body of the sacrum. The presacral venous plexus is not directly visible during rectal surgery, and injuries to this plexus may be ..
- Giant cell tumor of the sacrum and spine: series of 23 cases and a review of the literature
Johns Hopkins University School of Medicine, Baltimore, MD, USA
Iowa Orthop J 30:69-75. 2010
Although there have been a few large case series of giant cell tumor (GCT) in the spine and sacrum, the treatment of these lesions remains controversial...
- Sacral chordoma: can local recurrence after sacrectomy be predicted?
S A Hanna
Department of Orthopaedic Oncology, Sarcoma Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
Clin Orthop Relat Res 466:2217-23. 2008
..The findings suggest obtaining wide surgical margins posteriorly, by excising parts of the piriformis, gluteus maximus, and sacroiliac joints, may result in better local disease control in patients with sacral chordoma...
- Long scoliosis fusion to the sacrum in adults with nonparalytic scoliosis. An improved method
E H Saer
Arkansas Spine Center, Little Rock
Spine (Phila Pa 1976) 15:650-3. 1990
The first 17 adults with nonparalytic scoliosis having long fusion to the sacrum treated with the Luque-Galveston technique were reviewed. There were 3 men and 14 women...
- Cryoablation of recurrent sacrococcygeal tumors
Anil Nicholas Kurup
Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
J Vasc Interv Radiol 23:1070-5. 2012
..To review the safety and efficacy of cryoablation of recurrent sacrococcygeal tumors...
- Imaging of lumbosacral transitional vertebrae
R J Hughes
Department of Radiology, The Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK
Clin Radiol 59:984-91. 2004
..The imaging findings of LSTV on plain radiography and MRI are reviewed and their clinical significance discussed...
- Radical excision of malignant sacral tumors using a modified threadwire saw
Department of Orthopaedic Surgery, Nihon University School of Medicine, Tokyo, Japan
J Surg Oncol 93:312-7. 2006
..Surgical treatment of malignant sacral tumors is difficult, and has a high rate of recurrence...
- Interspecies exchange of a Hoxd enhancer in vivo induces premature transcription and anterior shift of the sacrum
Department of Zoology and Animal Biology, University of Geneva, Sciences III, Switzerland
Dev Biol 190:32-40. 1997
..which led to a rostral shift of its expression boundary and a consequent anterior transposition of the sacrum. These results demonstrate the high phylogenetic conservation of regulatory mechanisms acting over vertebrate Hox ..
- Sacral insufficiency fractures: current concepts of management
Academic Department of Trauma and Orthopedics, St James s University Hospital, Beckett Street, Leeds LS9 7TF, UK
Osteoporos Int 17:1716-25. 2006
..Sacral insufficiency fractures (SIFs) are often overlooked in elderly patients presenting with low back and pelvic pain following no or minimal trauma...
- High rectal injury during trans-1 axial lumbar interbody fusion L5-S1 fixation: a case report
Department of Orthopaedic Surgery, University of Colorado, Denver, Colorado, USA
Spine (Phila Pa 1976) 35:E144-8. 2010
..A case report...
- Surgical treatment of sacral chordomas combined with transcatheter arterial embolization
The First Affiliated Hospital of Soochow University, Suzhou, China
J Spinal Disord Tech 23:47-52. 2010
..A retrospective study, analyzing midterm results of transcatheter arterial embolization (TAE) for removal of a sacral chordoma...
- Giant cell tumour of the sacrum: a suggested algorithm for treatment
The Royal Orthopaedic Hospital Oncology Service, Bristol Road South, Birmingham, B31 2AP, UK
Eur Spine J 19:1189-94. 2010
To investigate the outcome of our management of patients with giant cell tumour of the sacrum and draw lessons from this...
- Comparison of the strengths of lumbosacral fixation achieved with techniques using one and two triangulated sacral screws
J C Leong
Department of Orthopaedic Surgery, University of Hong Kong
Spine (Phila Pa 1976) 23:2289-94. 1998
..using one sacral screw and two triangulated sacral screws with Chopin block was tested on 10 fresh human sacrum specimens...
- Effect of spinal segment variants on numbering vertebral levels at lumbar MR imaging
John A Carrino
Russell H Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N Caroline St, Suite 5165, Baltimore, MD 21287, USA
Radiology 259:196-202. 2011
- Numbering of lumbosacral transitional vertebrae on MRI: role of the iliolumbar ligaments
Richard J Hughes
Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, London, England HA7 4LP
AJR Am J Roentgenol 187:W59-65. 2006
..The objective of this study was to determine whether identification of the iliolumbar ligaments is of practical use for numbering lumbosacral transitional vertebrae (LSTV)...
- Treatment of nonmetastatic Ewing's sarcoma family tumors of the spine and sacrum: the experience from a single institution
Sezione di Chemioterapia, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy
Eur Spine J 18:1091-5. 2009
..study is to determine the best local treatment combined with neoadjuvant chemotherapy for ESFT of the spine and sacrum, for the best local treatment for Ewing sarcoma family tumors (ESFT) according to the primary site is still ..
- Treatment of recurrent chordomas by percutaneous ethanol injection therapy and radiation therapy
Department of Radiology, Imakiire General Hospital, Kagoshima, Japan
Acta Radiol 47:297-300. 2006
..PEIT may be one of the adjuvant therapies for recurrent chordomas...
- A quantitative study on the sacrum of the dog
Mehmet Kamil Ocal
Faculty of Veterinary Medicine, Department of Anatomy, Adnan Menderes University, Isikli Aydin, Turkey
Ann Anat 188:477-82. 2006
..46 (142.1)mm2. The transverse diameters of the first sacral vertebra important for screw implantation were 46.02 (4.33)mm and 44.18 (5.29)mm in the first and second cross-sections, respectively...
- Orientation of the human sacrum: anthropological perspectives and methodological approaches
Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel
Am J Phys Anthropol 133:967-77. 2007
..a) SAO is the angle created between the intersection of a line running parallel to the superior surface of the sacrum and a line running between the anterior superior iliac spine (ASIS) and the anterior-superior edge of the ..
- The clinicopathologic observation, c-KIT gene mutation and clonal status of gastrointestinal stromal tumor in the sacrum
Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Xi an 710038, Shaanxi Province, PR China
BMC Gastroenterol 9:43. 2009
It is very rare that gastrointestinal stromal tumor (GIST) occurs in the sacrum. Only one case of GIST occuring in the sacral region, with intracranial metastasis, has been reported in the literature...
- Tamponade of presacral hemorrhage with hemostatic sponges fixed to the sacrum with endoscopic helical tackers: report of two cases
Tom J van der Vurst
Department of Surgery, Twenteborg Hospital, Almelo, The Netherlands
Dis Colon Rectum 47:1550-3. 2004
..We report the successful tamponade of presacral hemorrhage with absorbable hemostatic sponges fixed to the sacrum with endoscopic helical tackers.
- A simplified Galveston technique for the stabilisation of pathological fractures of the sacrum
A M McGee
The Department of Spinal Surgery, The Royal Orthopaedic Hospital, Woodlands, Northfield, Birmingham, UK
Eur Spine J 9:451-4. 2000
Mechanical stabilisation of pathological fractures of the sacrum is technically challenging. There is often inadequate purchase in the sacrum, and stabilisation has to be achieved between the lumbar vertebrae and ilium...
- Spectrum of mutations and genotype-phenotype analysis in Currarino syndrome
Department of Pediatric Oncology Hematology, Charite, Humboldt University, Berlin, Germany
Eur J Hum Genet 9:599-605. 2001
- Sacral nerve modulation for defaecation and micturition disorders in patients with spina bifida
S M P Lansen-Koch
Department of Colorectal Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands
Colorectal Dis 14:508-14. 2012
..Therefore, the purpose of this study was to assess the effectiveness of sacral nerve modulation for defaecation disorders and voiding dysfunction in patients with spina bifida...
- Selection of instrumentation and fusion levels for scoliosis: where to start and where to stop. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004
Keith H Bridwell
Department of Orthopaedic Surgery, Washington University, St Louis, Missouri 63110, USA
J Neurosurg Spine 1:1-8. 2004
..The author reviewed his experience and the literature and reports on the choice of fusion levels in the adolescent and adult patient...
- MRI of hemangiopericytoma in the sacrum
Yu Wei Lian
School of Medicine, Taipei Medical University, Taipei, Taiwan, Republic of China
Skeletal Radiol 33:485-7. 2004
..Magnetic resonance imaging (MRI) showed a tumor mass with areas of serpentine signal void pattern in the sacrum suggestive of a vascular tumor. Neither calcifications nor layered blood serum were noted...
- Metric study of Egyptian sacrum for lumbo-sacral fixation procedures
Gamal Hamed el Sayed Hassanein
Department of Anatomy, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Clin Anat 24:218-24. 2011
Lumbo-sacral fixation for the management of lumbo-sacral instability includes insertion of screws to the sacrum, most commonly into the posterior aspect of the pedicles of the first sacralvertebra...
- Surgical margins and local control in resection of sacral chordomas
Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Via Pupilli, 1, 40136, Bologna BO, Italy
Clin Orthop Relat Res 468:2939-47. 2010
..The quality of surgical margins obtained at initial surgery is the primary factor to improve survival reducing the risk of local recurrence, but proximal sacral resections are associated with substantial perioperative morbidity...
- Advance in the treatment of aneurysmal bone cyst of the sacrum
II Orthopaedic and Traumatology Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy
Skeletal Radiol 40:1461-6. 2011
..the review of 11 patients with two different treatment methods used historically for aneurysmal bone cyst in the sacrum. The outcome of both procedures is reported...
- Primary clear cell sarcoma of the sacrum: a case report
Department of Orthopaedics, Rui Jin Hospital, affiliated Shanghai Jiao Tong University School of Medicine, Shanghai, China
Skeletal Radiol 40:633-9. 2011
..We present here a case of a huge primary clear cell sarcoma of the sacrum arising in a 25-year-old man. The average percentage of melanin content in the tumor was 9.25 ± 6...
- Stress fracture of the pelvic wing-sacrum after long-level lumbosacral fusion: a case report
Young Do Koh
Department of Orthopaedic Surgery, Ewha Woman s University, Seoul, Korea
Spine (Phila Pa 1976) 30:E161-3. 2005
A case report of transverse stress fracture of the pelvic wing-sacrum after long-level lumbosacral fusion.
- Evaluation and management of stress fractures of the pelvis and sacrum
Robert G Hosey
Department of Orthopedics and Sports Medicine, University of Kentucky, Lexington, Kentucky 40536 0284, USA
Orthopedics 31:383-5. 2008
Most stress fractures of the pelvis and sacrum can be treated nonoperatively with activity modification and thorough assessment of training activities and nutritional factors.
- Osteochondroma of the sacrum: a case report and review of the literature
Graduate Division, Harvard University, Cambridge, MA, USA
Spine (Phila Pa 1976) 31:E425-9. 2006
..A case report and review of the literature...
- Fatigue fracture of the sacrum in an adolescent
Scott P Patterson
Department of Diagnostic Radiology, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212 4772, USA
Pediatr Radiol 34:633-5. 2004
..Recognition of these fractures is important to avoid unnecessary biopsy if the findings are confused with tumor or infection. We report a sacral fatigue fracture in a 15-year-old without a history of athletic participation or trauma...
- [Microsurgical reconstruction of the pelvic floor after pelvic exenteration. Reduced morbidity and improved quality of life by an interdisciplinary concept]
N M Stechl
Klinik für Plastische, Wiederherstellungs und Handchirurgie, Markus Krankenhaus, Wilhelm Epstein Straße 4, Frankfurt am Main, Germany
Chirurg 82:625-30. 2011
..The goal of therapy is therefore restoration of functional stability and adequate soft tissue coverage, thus enhancing the quality of life with limited life expectancy by an interdisciplinary approach...
- Long adult spinal deformity fusion to the sacrum using rhBMP-2 versus autogenous iliac crest bone graft
Department of Orthopaedic Surgery, WA University in St Louis, St Louis, MO, USA
Spine (Phila Pa 1976) 34:2205-12. 2009
- A novel approach to the treatment of gunshot injuries to the sacrum
James R Dunne
R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA
Am Surg 69:91-4. 2003
..Upon further exploration they were both noted to have significant bleeding from the bony aspect of their sacrum. A surgical hemostat (CoStasis; Cohesion Technologies, Inc., Palo Alto, CA) (4.5-9...
- Muscle tamponade to control presacral venous bleeding: report of two cases
Feza H Remzi
Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Dis Colon Rectum 45:1109-11. 2002
..The technique was successful and may be considered in cases of problematic hemorrhage when other techniques have failed or inapplicable...
- Treatment of neoplastic diseases of the sacrum
G H Raque
Department of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
J Surg Oncol 76:301-7. 2001
..This overview includes the relative anatomy, symptoms, diagnosis, imaging, operative indications, surgical approaches, and potential complications...
- Posterior-only approach for en bloc sacrectomy: clinical outcomes in 36 consecutive patients
Michelle J Clarke
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA
Neurosurgery 71:357-64; discussion 364. 2012
..However, we have found that en bloc resection and biomechanical reconstruction of the spinal column is possible from a posterior-only approach in many cases...
- Muscle fragment welding for control of massive presacral bleeding during rectal mobilization: a review of eight cases
Jacqueline L Harrison
Department of Colorectal Surgery, Cook County Hospital, Chicago, Illinois, USA
Dis Colon Rectum 46:1115-7. 2003
- Infections in surgery of primary tumors of the sacrum
Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italy
Spine (Phila Pa 1976) 37:420-8. 2012
..Retrospective case series...
- Management of metastatic sacral tumours
Nasir A Quraishi
Centre for Spinal Studies and Surgery, Queen s Medical Centre Campus of Nottingham University Hospitals, Derby Road, Nottingham, UK
Eur Spine J 21:1984-93. 2012
Metastatic involvement of the sacrum is rare and there is a paucity of studies which deal with the management of these tumours since most papers refer to primary sacral tumours...
- Coronal oblique turbo STIR imaging of the sacrum and sacroiliac joints at routine MR imaging of the lumbar spine
Tadhg G Gleeson
Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland
Emerg Radiol 12:38-43. 2005
..of the study was to evaluate the clinical impact of coronal oblique imaging of the lumbrosacral junction and the sacrum at initial presentation for MR imaging of the lumbar spine in patients presenting with low back pain or sciatic ..
- Controlling a presacral hemorrhage by using a saline bag: report of a case
Department of Surgery, Chung Shan Medical University Hospital, Taichung, No 110, Section 1, Chien Kuo N Road, Taichung, Taiwan
Dis Colon Rectum 51:972-4. 2008
..We report our successful use of a saline bag tamponade in a patient with a life-threatening presacral hemorrhage after an abdominoperineal resection of an anal carcinoma...
- Modified triangular posterior osteosynthesis of unstable sacrum fracture
Department of Orthopaedic and Traumatology, University Hospital, OTR BH 14, CHUV 1011 Lausanne, Switzerland
Eur Spine J 15:857-63. 2006
..There were four vertical shear lesions of the pelvis and three transverse fracture of the upper sacrum. The vertical shear injuries were initially treated with an anterior external fixator inserted at the time of ..
- Long adult deformity fusions to L5 and the sacrum. A matched cohort analysis
Charles C Edwards
Washington University School of Medicine, Department of Orthopaedic Surgery, St Louis, MO 63110, USA
Spine (Phila Pa 1976) 29:1996-2005. 2004
..S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis.
- Sacral insufficiency fractures
O S Schindler
Droitwich Knee Clinic and Birmingham Arthritis and Sports Injury Clinic, Worcestershire, United Kingdom
J Orthop Surg (Hong Kong) 15:339-46. 2007
..To highlight difficulties in the diagnostic process and the validity of imaging techniques for sacral insufficiency fractures...
- Outcome of conservative surgery for giant cell tumor of the sacrum
Musculoskeletal Tumor Center, People s Hospital, Peking University, Beijing, People s Republic of China
Spine (Phila Pa 1976) 34:1025-31. 2009
- Surgical treatment of primary tumors of the sacrum
University of Istanbul, Istanbul Medical Faculty, Department of Orthopaedics and Traumatology, 34390 Topkapi, Istanbul, Turkey
Arch Orthop Trauma Surg 122:148-55. 2002
Twenty-two patients with primary tumors of the sacrum were surgically treated between 1983 and 1997. Seventeen male and 5 female patients were followed up for a mean of 53.6 months (range 12-203 months)...
- Primary capillary hemangioblastoma of bone: report of a case arising in the sacrum
Department of Human Pathology and Oncology, University of Florence, Firenze, Italy
Int J Surg Pathol 18:580-3. 2010
..We present the case of a 72-year-old woman with low back pain and a well-demarcated lytic lesion of the sacrum, which at histological and ultrastructural examination was indistinguishable from central nervous system CHB...
- Intradural squamous cell carcinoma in the sacrum
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan
World J Surg Oncol 7:16. 2009
..We describe a rare case of leptomeningeal carcinomatosis in which spinal intradural squamous cell carcinoma with no lesions in the cerebral meninges and leptomeninx, was the primary lesion...
- Primary malignant giant cell tumour of sacrum--a case report
Department of Lab Medicine, Safdarjung Hospital, New Delhi
Indian J Pathol Microbiol 44:173-5. 2001
A rare case of primary malignant GCT of sacrum in a 35-year-old female is reported.
- Aneurysmal bone cysts of the sacrum: a report of ten cases and review of the literature
Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD 21205, USA
Iowa Orthop J 29:74-8. 2009
..All ten patients are currently disease free for at least two years. Only two patients have residual neurologic deficit in the form of bowel or bladder dysfunction...
- Fiducial-free real-time image-guided robotic radiosurgery for tumors of the sacrum/pelvis
European CyberKnife Center Munich, Munich, Germany
Radiother Oncol 93:37-44. 2009
..We present preliminary clinical results and phantom accuracy measurements of sacral radiosurgery using fiducial-free alignment based on vertebral anatomy distant to tumor location...
- Primary intraosseous paraganglioma of the sacrum: a case report
Department of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA
Spine J 7:733-8. 2007
..Chest, abdomen, and pelvis computed tomography scans revealed no other tumors. This lesion was treated with limited resection, decompression, stabilization, and radiation therapy...
- Metastatic Merkel cell carcinoma to the sacrum and epidural space: case report
Magn Reson Imaging 22:1340. 2004
- Closed reduction and iliosacral percutaneous fixation of unstable pelvic ring fractures
Orthopedic Surgery Department, Hospital del Trabajador Santiago, Ramon Carnicer 201, Providencia, Santiago, Chile
Injury 39:869-74. 2008
..To report clinical results of patients treated with closed reduction and percutaneous iliosacral screw fixation for unstable pelvic ring fractures...
- Shotgun wounds to the buttocks, sacrum, and rectum
Matthew Moore Carrick
Michael E DeBakey, Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
J Trauma 62:552. 2007
- Currarino syndrome: proposal of a diagnostic and therapeutic protocol
Division of Pediatric Surgery, Gaslini Children s Hospital, Genoa, Italy
J Pediatr Surg 39:1305-11. 2004
..The authors analyzed retrospectively their series, and they propose a multidisciplinary diagnostic and therapuetic protocol that until now has not been introduced...
- Surgical anatomy of the sacrum. A guide for rational screw fixation
S I Esses
Toronto General Hospital, University of Toronto, Canada
Spine (Phila Pa 1976) 16:S283-8. 1991
..Surgical accuracy was evaluated after surgery with computed tomography...
- Morphometry of the sacrum for clinical use
Department of Anatomy, Adnan Menderes University School of Medicine, Aydin, Turkey
Surg Radiol Anat 27:467-71. 2005
..in the lower lumbar spine may necessitate fusion and stabilization supplemented by instrumentation to the sacrum. However, screw placement in a reasonable position is more difficult to achieve because of the unique anatomy of ..
- Segmental lumbar lordosis: manual versus computer-assisted measurement using seven different techniques
Thomas C Schuler
Virginia Spine Institute, Reston, Virginia 20190, USA
J Spinal Disord Tech 17:372-9. 2004
- Zoledronic acid in metastatic chondrosarcoma and advanced sacrum chordoma: two case reports
Medical Oncology Unit San Giovanni di Dio Hospital, 80020 Frattaminore, Naples, Italy
J Exp Clin Cancer Res 28:7. 2009
..Chondrosarcomas and chordomas are usually chemoresistant bone tumors and may have a poor prognosis when advanced. They are usually associated with worsening pain difficult to control...
- Benign sacral tumors
Chicago Institute of Neurosurgery and Neuroresearch, Chicago, Illinois, USA
Neurosurg Focus 15:E14. 2003
Primary tumors of the sacrum are rare. In adults, the most common sacral tumors are metastases. The most common primary sacral tumor is a chordoma...
- Variable morphology of the sacrum in a Chinese population
Li Ping Wu
Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China
Clin Anat 22:619-26. 2009
Although several morphological variations of sacrum have been reported in western populations, little attention has been paid to this anatomic issue in eastern people, and classification of sacral variability in particular...
- Uterosacral colpopexy at the time of vaginal hysterectomy: comparison of laparoscopic and vaginal approaches
Charles R Rardin
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Warren Alpert Medical School, Brown University, 695 Eddy Street, Suite 12, Providence, RI 02903, USA
J Reprod Med 54:273-80. 2009
..To compare the risk of ureteral compromise and of recurrent vault prolapse following vaginal vs. laparoscopic uterosacral vault suspension at the time of vaginal hysterectomy...