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  4. Pelvic girdle reconstruction by spinal fusion in combination with ischial screw fixation in a case of aneurysmal bone cyst
 
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Pelvic girdle reconstruction by spinal fusion in combination with ischial screw fixation in a case of aneurysmal bone cyst

Publikationstyp
Journal Article
Date Issued
2003
Sprache
English
Author(s)
Honl, Matthias  
Biomechanik M-3  
Westphal, Florian  
Carrero, Volker  
Morlock, Michael  
Biomechanik M-3  
Schwieger, Karsten  
Hille, Ekkehard  
Delling, Günter  
TORE-URI
https://hdl.handle.net/11420/48525
Journal
Sarcoma  
Volume
7
Issue
3/4
Start Page
177
End Page
182
Citation
Sarcoma 7 (3/4): 177-182 (2003)
Publisher DOI
10.1080/13577140310001644805
Scopus ID
2-s2.0-0347756664
Publisher
Taylor & Francis
A case of lytic lesion of the pelvis in a 23-year-old woman is presented. A biopsy led to the diagnosis aneurysmal bone cyst (ABC). Due to the histologically very aggressive growth of the tumor, a low malignant osteosarcoma could not be excluded. In an initial operation the tumour, affecting the sacrum, the iliac crest and the lower lumbar spine was resected. Temporary restabilisation of the pelvic ring was achieved by a titanium plate. The histological examination of the entire tumour confirmed the diagnosis ABC. After 6 months, the MRI showed no recurrence. The observed tilt of the spine to the operated side on the sacral base prompted a second surgical procedure: a transpedicular fixation of L5 and L4 was connected via bent titanium stems to the ischium, where the fixation was achieved by two screws. This construction allowed the correction of the base angle and yielded a stable closure of the pelvic ring. The patient has now been followed for 6 years: the bone grafts have been incorporated and, in spite of radiological signs of screw loosening in the ischium, the patient is fully rehabilitated and free of symptoms. Pedicle screws in the lower spine can be recommended for fixation of a pelvic ring discontinuity.
Subjects
aneurysmal bone cyst
pelvic reconstruction
pelvic tumor
spino ischial spondylodesils
DDC Class
610: Medicine, Health
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