Multifidus muscle retracted and preserved in resection of malignant bone tumor in the sacral ala
Open Access
- 1 October 2021
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Surgical Case Reports
- Vol. 2021 (10), rjab439
- https://doi.org/10.1093/jscr/rjab439
Abstract
Resection of malignant tumors in the posterior pelvis requires multidirectional approaches for the resection and the subsequent spine-pelvic fixation. The multifidus muscle can be scarified during the operation. This is a case report of a 44-year-old male with a secondary chondrosarcoma arising from an osteochondroma in the sacral ala. Recurrence occurred 11 months after the initial operation, and the resected tissue from the recurrence was diagnosed as a chondrosarcoma. In both operations, the multifidus muscle was elevated from its distal attachment to provide an adequate view of the tumor resection and insertion of spine-pelvic instrumentation. An adequate view by elevation of the multifidus muscle is useful for a safe operation. A preserved multifidus muscle covering the instrumentation may reduce the risk of infection. The elevation and preservation of the multifidus muscle is an easy and simple method that contributes to successful resection of a malignant tumor of the pelvis.Keywords
This publication has 11 references indexed in Scilit:
- Secondary chondrosarcoma arising from osteochondromaThe Bone & Joint Journal, 2019
- Prospective Study of Long‐term Effect between Multifidus Muscle Bundle and Conventional Open Approach in One‐level Posterior Lumbar Interbody FusionOrthopaedic Surgery, 2018
- Improved Differentiation of Benign Osteochondromas from Secondary Chondrosarcomas with Standardized Measurement of Cartilage Cap at CT and MR ImagingRadiology, 2010
- Architectural Analysis and Intraoperative Measurements Demonstrate the Unique Design of the Multifidus Muscle for Lumbar Spine StabilityJournal of Bone and Joint Surgery, 2009
- Predictors of Complications and Outcomes of External Hemipelvectomy Wounds: Account of 160 Consecutive CasesAnnals of Surgical Oncology, 2007
- Immediate Reconstruction of Oncologic Hemipelvectomy DefectsAnnals of Plastic Surgery, 2006
- Imaging of Osteochondroma: Variants and Complications with Radiologic-Pathologic CorrelationRadioGraphics, 2000
- A System for the Functional Evaluation of Reconstructive Procedures After Surgical Treatment of Tumors of the Musculoskeletal SystemClinical Orthopaedics and Related Research, 1993
- Benign exostoses and exostotic chondrosarcomas: evaluation of cartilage thickness by CT.Radiology, 1984