Journal of Korean Neurosurgical Society

  • 제41권1호
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  • Pages.61-64
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  • 2007
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

Lumbo-iliac Fixation Using Modified Galveston Technique in a Patient with Metastatic Sacral Tumor

  • Shin, Dong-Ah (Department of Neurosurgery, Presbyterian Medical Center) ;
  • Kim, Hyo-Jun (Department of Neurosurgery, Presbyterian Medical Center) ;
  • Shin, Dong-Gyu (Department of Neurosurgery, Presbyterian Medical Center) ;
  • Kim, Hyoung-Ihl (Department of Neurosurgery, Presbyterian Medical Center)
  • 발행 : 2007.01.30
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초록

Lumbo-sacral junction is a transition lone between the mobile lumbar spine and immobile pelvis. Lumbosacral junction has been considered to be the most troublesome portion of the spine to be fused because of the difference in anatomical and biomechanical factors between spine and pelvis. A metastatic sacral tumor in a 57-year-old man was resected, followed by unilateral lumbo-iliac fixation across lumbosacral junction using modified Galveston technique. Rigid fixation was successfully achieved. Detailed anatomy and surgical techniques are presented.

키워드

참고문헌

  1. Allen BL Jr, Ferguson RL : A 1988 perspective on the Galveston technique of pelvic fixarion. Orthop Clin North Am 19 : 409-418, 1988
  2. Allen BL Jr, Ferguson RL : The Galveston technique for L rod instrumentation of the scoliotic spine. Spine 7: 276-284, 1982 https://doi.org/10.1097/00007632-198205000-00014
  3. Allen BL Jr, Ferguson RL ; The Galveston technique of pelvic fixation with L-rod instrumentation of the spine. Spine 9: 388-394, 1984 https://doi.org/10.1097/00007632-198405000-00011
  4. Allen BL Jr, Ferguson RL ; Neurologic injuries with the Galveston technique of L-rod instrumentation for scoliosis. Spine 11 : 14-17, 1986 https://doi.org/10.1097/00007632-198601000-00004
  5. Doh JW, Benzel EC, Lee KS, Bae HG, Yun IG, Choi SK, et al : Anatomical safe zone of sacral ala for ventrolateral sacral(SI) screw placement : re-evaluation of its effectiveness. J Korean Neurosurg Soc 27 : 291-298, 1998
  6. Feldenzer JA, McGauley JL, McGillicuddy JE : Sacral and presacral rumors: problems in diagnosis and management. Neurosurgery 25 : 884-891, 1989 https://doi.org/10.1227/00006123-198912000-00006
  7. Fiandaca MS, Ross WK, Pearl GS, Bakay RA : Carcinoid rumor in a presacral teratoma associated with an anterior sacral meningocele: case report and review of the literature. Neurosurgery 22 : 581-588, 1988 https://doi.org/10.1227/00006123-198803000-00025
  8. Fourney DR, Rhines LD, Hentschel SJ, Skibber JM, Wolinsky JP, Weber KL, et al : En bloc resection of primary sacral rumors: classification of surgical approaches and outcome. J Neurosurg Spine 3 : 111-122, 2005 https://doi.org/10.3171/spi.2005.3.2.0111
  9. Gokaslan ZL, Romsdahl MM, Kroll SS, Walsh GL, Gillis TA, Wildrick DM, et al : Total sacrectomy and Galveston L-rod reconstruction for malignant neoplasms. Technical note. J Neurosurg 87 : 781-787, 1997 https://doi.org/10.3171/jns.1997.87.5.0781
  10. Jackson RJ, Gokaslan ZL : Spinal-pelvic fixation in patients with lumbosacral neoplasms. J Neurosurg 92: 61-70, 2000
  11. Ko YS, Shin H : Analysis of anterior-posterior distance of sacral canal on MR1 to see the possibiliry of sacral laminar hook insertion. J Korean Neurosurg Soc 34: 445-449, 2003
  12. Liu JK, Kan P, Schmidt MH : Diffuse large B-ceillymphoma presenting as a sacral tumor. Report of two cases. Neurosurg Focus 15 : E10, 2003
  13. McCord DH, Cunningham BW, Shono Y, Myers JJ, McAfee PC: Biomechanical analysis of lumbosacral fixation. Spine 17 : S235-243, 1992 https://doi.org/10.1097/00007632-199208001-00004
  14. Miller F, Moseley C, Koreska J : Pelvic anatomy relative to lumbosacral instrumentation. J Spinal Disord 3 : 169-173, 1990
  15. Ogilvie JW, Bradford DS : Sublaminar fixation in lumbosacral fusions. Clin Orthop Relat Res: 157-161, 1991
  16. Thomas KA, King AG, Zembo MM, Solomonow M, Summersgill LE, Dabezies EJ : Enhanced spino-pelvic fixation for segmental spinal instrumentation : a preliminary biomechanical evaluation. Orthopedics 17: 527-537, 1994
  17. Zhang HY, Thongtrangan I, Balabhadra RS, Murovic JA, Kim DH : Surgical techniques for total sacrectomy and spinopelvic reconstruction. Neurosurg Focus 15 : E5, 2003