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CASE 3: Sacroiliac Osteosarcoma
- Hits: 44
- 24-year-old male
- A patient presenting with lower back and right hip pain underwent needle biopsy under fluoroscopy after a mass was detected in the right sacroiliac region, and was diagnosed with osteosarcoma.
- The patient, who had no metastases detected in scans, underwent sacroiliac resection after 3 cycles of chemotherapy, and the resulting gap was reconstructed with fibula and pedicle screws/rods taken from the same leg.
- The patient experienced no complications during or after surgery and was referred to medical oncology for continuation of chemotherapy following wound healing.
Pre-operative examination: X-rays, CT scans, and MRIs show irregularities and damage in the right sacroiliac region.
During the operation: The video shows the marking of the incision, the reconstruction of vascular and nerve structures after resection.
During the operation: Clinical and fluoroscopy images of the removed tumor.
Postoperative: X-ray shows reconstruction of the fibula and pedicle with screws/rods after sacroiliac resection.
