GIANT LUMBO-SACRAL TUMORS
Objectives Despite comprising just 8% of all spinal tumors, sacral tumors present a long list of issues that should be taken in consideration when neurosurgical approach is tempted. Their unique anatomic location, close relation with neural structures and pelvic organs and high-vascularity are j...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2024-11-01
|
| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2834 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846167580912386048 |
|---|---|
| author | Mihai-Stelian Moreanu Ovidiu Zamfir Alin-Vasile Chirtes Augustin Dima Marian Mitrica |
| author_facet | Mihai-Stelian Moreanu Ovidiu Zamfir Alin-Vasile Chirtes Augustin Dima Marian Mitrica |
| author_sort | Mihai-Stelian Moreanu |
| collection | DOAJ |
| description |
Objectives
Despite comprising just 8% of all spinal tumors, sacral tumors present a long list of issues that should be taken in consideration when neurosurgical approach is tempted. Their unique anatomic location, close relation with neural structures and pelvic organs and high-vascularity are just a few nuances of these type of conditions. This paper outline the importance of a good preoperative and intraoperative management in order to facilitate the maximum recovery of the patients.
Material and Methods
This paper analyses retrospectively a series of 2 cases of giant sacral tumors (>100 cm3) that were operated in our clinic in 2024 by a multidisciplinary team (neurosurgeons and general surgeons). Follow-up data were obtained from the charts and medical records. All the lesions were localised under L4 vertebra with invasion of sacrum.
Results
Our first case was a 47-years old man who accused diffuse mild lumbar pain for more than 2 years, but acutely aggravated in the last months with lumbosacral radicular pain, palsy of the inferior lumbar nerves, urinary incontinence and paraesthesia. MRI showed a giant L5-S2 mass and biopsy diagnostic was myxopapillary ependymoma. Second case was of a young woman with lumbosacral radicular pain debuted a few months ago, whose clinical state worsened rapidly becoming paralytic of lower limbs. MRI showed a giant sacral mass with invasion of the pelvic musculature and surrounding the iliac vessels (intraoperative aspect: sarcoma). Both patients ameliorated postoperatively, and are currently enrolled in a recovery program. Sub-total resection and near-total resection were obtained.
Conclusions
Sacral tumors exhibit a challenge in the field of spine surgery being clinical silence over a period of months and years, and then followed by gross deficit. We diagnosed sacral tumors based on clinical, radiographic and laboratory aspects. Prognostic factors were preoperative clinical status and gross-total resection.
|
| format | Article |
| id | doaj-art-1e18b9820b4f4c1a8cdb52446ec9934c |
| institution | Kabale University |
| issn | 1220-8841 2344-4959 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj-art-1e18b9820b4f4c1a8cdb52446ec9934c2024-11-14T15:47:07ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592024-11-0138Special Issue10.33962/roneuro-2024-109GIANT LUMBO-SACRAL TUMORSMihai-Stelian MoreanuOvidiu ZamfirAlin-Vasile ChirtesAugustin DimaMarian Mitrica Objectives Despite comprising just 8% of all spinal tumors, sacral tumors present a long list of issues that should be taken in consideration when neurosurgical approach is tempted. Their unique anatomic location, close relation with neural structures and pelvic organs and high-vascularity are just a few nuances of these type of conditions. This paper outline the importance of a good preoperative and intraoperative management in order to facilitate the maximum recovery of the patients. Material and Methods This paper analyses retrospectively a series of 2 cases of giant sacral tumors (>100 cm3) that were operated in our clinic in 2024 by a multidisciplinary team (neurosurgeons and general surgeons). Follow-up data were obtained from the charts and medical records. All the lesions were localised under L4 vertebra with invasion of sacrum. Results Our first case was a 47-years old man who accused diffuse mild lumbar pain for more than 2 years, but acutely aggravated in the last months with lumbosacral radicular pain, palsy of the inferior lumbar nerves, urinary incontinence and paraesthesia. MRI showed a giant L5-S2 mass and biopsy diagnostic was myxopapillary ependymoma. Second case was of a young woman with lumbosacral radicular pain debuted a few months ago, whose clinical state worsened rapidly becoming paralytic of lower limbs. MRI showed a giant sacral mass with invasion of the pelvic musculature and surrounding the iliac vessels (intraoperative aspect: sarcoma). Both patients ameliorated postoperatively, and are currently enrolled in a recovery program. Sub-total resection and near-total resection were obtained. Conclusions Sacral tumors exhibit a challenge in the field of spine surgery being clinical silence over a period of months and years, and then followed by gross deficit. We diagnosed sacral tumors based on clinical, radiographic and laboratory aspects. Prognostic factors were preoperative clinical status and gross-total resection. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2834sacral tumoursMRIspinequality of life |
| spellingShingle | Mihai-Stelian Moreanu Ovidiu Zamfir Alin-Vasile Chirtes Augustin Dima Marian Mitrica GIANT LUMBO-SACRAL TUMORS Romanian Neurosurgery sacral tumours MRI spine quality of life |
| title | GIANT LUMBO-SACRAL TUMORS |
| title_full | GIANT LUMBO-SACRAL TUMORS |
| title_fullStr | GIANT LUMBO-SACRAL TUMORS |
| title_full_unstemmed | GIANT LUMBO-SACRAL TUMORS |
| title_short | GIANT LUMBO-SACRAL TUMORS |
| title_sort | giant lumbo sacral tumors |
| topic | sacral tumours MRI spine quality of life |
| url | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2834 |
| work_keys_str_mv | AT mihaistelianmoreanu giantlumbosacraltumors AT ovidiuzamfir giantlumbosacraltumors AT alinvasilechirtes giantlumbosacraltumors AT augustindima giantlumbosacraltumors AT marianmitrica giantlumbosacraltumors |