Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review

BMC Pregnancy and Childbirth

Case Report

Manisha Gandhi¹  Valentina Briceño²  Andrew Jea²  Valentin V. Barsan² 

[1] Department of Obstetrics and Gynecology, Baylor College of Medicine, Texas Children’s Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, 77030, Houston, TX, USA;Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Texas Children’s Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, 77030, Houston, TX, USA;

关键词: HRQoL outcomes;    Myofibroblastic sarcoma;    Pediatric spine;    Pregnancy;    Obstetrics;    Sacrectomy;   

DOI  :  10.1186/s12884-015-0735-5

 received in 2014-07-22, accepted in 2015-11-05,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundSacrectomy remains a technically complex procedure for resection of malignant pelvic neoplasia. Commonly, postoperative complications include permanent neurological deficits. Only a few studies have reported the long-term functional outcomes of patients who had undergone sacrectomy.Case presentationWe previously reported on the utilization of complete sacrectomy and lumbopelvic reconstruction for the management of primary myofibroblastic sarcoma of the sacrum and ilium in a 15-year-old female patient. In this report, we update her postoperative course with an additional 5 years of follow-up and Health-Related Quality of Life (HRQoL) outcomes. During this time period, she gave birth to two healthy full-term babies.ConclusionTo the best of our knowledge, this is the first report of pregnancy after total sacrectomy and lumbopelvic reconstruction. We outline some of the challenges in the obstetrical management of this patient.

【 授权许可】

CC BY   
© Barsan et al. 2016