CASE 11: Chondrosarcoma located in the sacrum

• 64-year-old female patient
• The patient presented to us with lower back/right hip pain and numbness/tingling in the right leg, which had been present for 7 months.
• A patient underwent needle biopsy under CT guidance due to a tumor in the right half of the sacrum, which resulted in a diagnosis of chondrosarcoma.
• After the tumor was removed in one piece with clean margins (sacrcectomy), the resulting space was reconstructed with lumbopelvic fixation and fibula graft.

Before the surgery: The MRI shows tumor tissue located on the right side of the sacrum, causing bone damage and extending into the soft tissue.

Before the surgery: X-ray shows erosion on the right side of the sacrum, and CT scan reveals a needle biopsy within the tumor.

During and after surgery: Image of the reconstruction and wound healing.

Post-surgery: The X-ray shows reconstruction with fibula and lumbopelvic fixation.