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Historically, metastatic spine tumor surgery has been palliative for pain control, to maintain neurologic and ambulatory function. The thought of curing cancer with limited metastatic disease by resecting the primary and the metastatic lesions is becoming more common. Multilevel spondylectomy for resection of metastatic disease has been reported in the literature, mostly at the thoracic or lumbar level with some success. Reconstruction of the lumbosacral junction after tumor resection is a difficult endeavor and several techniques have been utilized. Subcutaneous anterior pelvic fixation has been described for the treatment of unstable pelvic fractures.

european spine journal

Expert’s comment concerning Grand Rounds case entitled “A novel ‘Pelvic Ring Augmentation Construct’ for Lumbo-Pelvic Reconstruction in Tumor Surgery” (by Sathya Thambiraj, Daren Forward, James Thomas and Bronek Boszczyk)