PMC4064397_01
Imaging shows the osteo-chondromatous lesion involving the sacrum and the sacro-iliac joint reaching from the neuroforamina L5 down to S4.
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MRI and angiography were suggestive of a chondromatous process (Figs. 1 and 2).
Dissection of the right pararectal fossa (a) with exposure the medial limits of the tumor.
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MRI and angiography were suggestive of a chondromatous process (Figs. 1 and 2).
Passage of the Gigli saw through the foramen L5-S1 (U: ureter; AIE: arteria iliaca externa).
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The patient signed informed consent forms for the procedure and authorization for communication as a case report (Figs. 3-5).
Gigli saw passed through the foraminas L5-S1 and S1-S3 for transection of the sacrum medial to the tumor.
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The patient signed informed consent forms for the procedure and authorization for communication as a case report (Figs. 3-5).
End situ - defect replaced with a structural fresh frozen femoral allograft and stabilization performed by lumbo-ischial screw/rod fixation.
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The patient signed informed consent forms for the procedure and authorization for communication as a case report (Figs. 3-5).