Orthopedics. 2009 May;32(5):342.
Mavrogenis AF, Patapis P, Kostopanagiotou G, Papagelopoulos PJ.
The management of tumors of the sacrum is challenging. Radical resection through partial or complete sacrectomy can prolong the overall survival of patients with primary malignant or aggressive benign tumors. However, establishing immediate stability through spinopelvic reconstruction is necessary for early ambulation and preservation of the quality of life, especially for patients with a limited life expectancy. Modern radiation therapy and stereotactic radiosurgery have the potential to reduce complications by including higher treatment doses with lower volumes of normal tissue within treatment fields. Embolization can be used effectively to treat hypervascular benign and malignant tumors of the sacrum as an adjunct to surgery.