Proceedings of the 1st EAI International Conference on Medical And Health Research, ICoMHER November 13-14th 2018, Padang, West Sumatera, Indonesia

Research Article

Sacrectomy as treatment of giant cell tumor in Dr. M. Djamil Hospital Padang: A Case Report

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  • @INPROCEEDINGS{10.4108/eai.13-11-2018.2283683,
        author={Roni Eka Sahputra and Menkher  Manjas and Azdiana  Fitri and Septry  Larissa},
        title={Sacrectomy as treatment of giant cell tumor in Dr. M. Djamil Hospital Padang: A Case Report},
        proceedings={Proceedings of the 1st EAI International Conference on Medical And Health Research, ICoMHER November 13-14th 2018, Padang, West Sumatera, Indonesia},
        publisher={EAI},
        proceedings_a={ICOMHER},
        year={2019},
        month={5},
        keywords={giant cell tumour sacrectomy},
        doi={10.4108/eai.13-11-2018.2283683}
    }
    
  • Roni Eka Sahputra
    Menkher Manjas
    Azdiana Fitri
    Septry Larissa
    Year: 2019
    Sacrectomy as treatment of giant cell tumor in Dr. M. Djamil Hospital Padang: A Case Report
    ICOMHER
    EAI
    DOI: 10.4108/eai.13-11-2018.2283683
Roni Eka Sahputra1,*, Menkher Manjas1, Azdiana Fitri2, Septry Larissa2
  • 1: Orthopaedic Division of Surgical Departement, Medical Faculty of Universitas Andalas/Dr. M.Djamil Hospital Padang - West Sumatera1
  • 2: Surgical Departement, Medical Faculty of Universitas Andalas/Dr. M.Djamil Hospital Padang - West Sumatera
*Contact email: roni78esahputra@gmail.com

Abstract

Primary sacral tumors are rare, 7% of all spinal tumors. Most sacral tumors are benign aggressive lesions such as aneurysmal bone cyst, osteoblastoma, and giant cell tumor, or low-grade malignancies such as chordoma or chondrosarcoma.We report a case of Giant cell tumour of the sacrum in a female patient 59 years old noticed with pain in lower back with radiated to the left thigh with muscle weakness since 6 months. No complain about bowel habit and micturition. Coronal and sagittal non-contrast T1&T2 MRI showed destructive heterogeneous intermediate-to-high signal densities within the lesion, indicating tumor localized at S1 to coccygeus.Total sacrectomy performed with exploration and preservation of major vessels by anterior approach following spinopelvic reconstruction procedure by posterior approach. Histopathologic examinations confirmed giant cell tumor.Total gastrectomy is a complex surgical procedure that requires specialized surgical stabilization techniques to preserve mechanical support and repair walking ability. Postoperative local recurrence rate after sacral tumor resection is directly related to the scope and degree of the resection. The risk of infection increases in patients who have previously undergone lumbosacral surgery and procedures with a long operation time.1Sacral tumors treated with total/partial sacrectomy and lumbopelvic stabilization show good functional outcomes and low complication rates