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Upright (a) AP and (b) lateral X-rays show no evidence of instrumentation failure with maintenance of spinal and pelvic alignment at 5 years after sacrectomy
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Fig1
Postoperative imaging showed settling and a stable fibrous pseudoarthrosis (Fig. 1a and b).
PMC4700628_02
a Prenatal sagittal T2-weighted MR image demonstrates the uterus and fetus with their relationship to the lumbopelvic instrumentation (metal artifact). b Prenatal axial T2-weighted MR image with gadolinium shows non-progressive stable disease in the iliac wings
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Fig2
The pregnancy was carefully documented with monthly fetal ultrasound and MRI (Figs. 2a, b, and 3).
Artist's illustration depicts the pregnant uterus in context with the lumbopelvic reconstruction after total sacrectomy
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Fig3
The pregnancy was carefully documented with monthly fetal ultrasound and MRI (Figs. 2a, b, and 3).
The cesarean incision follows along the previous midline laparotomy and rectus abdominis donor incision. Once the incision is opened, the inferior epigastric vessels, the vascular pedicle for the posterior myocutaneous flap, are identified and preserved
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Fig4
Great care was taken to identify the right inferior epigastric vessels, the pedicle of the rectus abdominis musculocutaneous flap used for closure of the sacral defect (Figs. 4 and 5).
Photograph of the site of sacral defect repair, seen 5 years after surgery and immediately after cesarean, demonstrates viability of myocutaneous flap
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Fig5
Great care was taken to identify the right inferior epigastric vessels, the pedicle of the rectus abdominis musculocutaneous flap used for closure of the sacral defect (Figs. 4 and 5).
Photograph of the healthy second baby with our patient shortly after cesarean delivery
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Fig6
A healthy baby girl was delivered (Fig. 6).