CASE 25: Soft tissue sarcoma (leiomyosarcoma) sacral metastasis.

• 67-year-old male patient
• The patient has a history of surgery due to soft tissue sarcoma located in the thigh.
• The patient presented with complaints of severe lower back pain that increased over time, urinary incontinence, and difficulty walking.
• The patient, diagnosed with sacral metastasis causing severe spinal cord compression, successfully underwent tumor removal (separation surgery with total laminectomy) and strengthening (lumbopelvic fixation) procedures.
• The patient experienced rapid and effective improvement in their symptoms and was discharged without any complications.

Before surgery: The MRI shows a tumor that involves the entire first sacrum bone, fills the spinal canal, and causes significant spinal cord compression.

DURING SURGERY: The suitability of the screws is checked via fluoroscopy, and it is observed that the spinal cord has been completely freed from compression.

Postoperative: Radiological image of lumbopelvic fixation.