AI Article Synopsis
- Chordomas, tumors that often affect the sacrum, have a high chance of coming back locally and can cause significant pain when they spread to nearby areas, impacting mobility.
- A study analyzed 84 patients who had sacrectomies for chordomas between 1990 and 2015, with only 4 of them (5%) undergoing hip arthroplasty after surgery due to complications like metastatic disease or coxarthrosis.
- Results showed that after hip arthroplasty, patients showed significant improvement in mobility and hip function, with a mean Harris Hip Score increasing from 49 to 80, indicating this procedure could be a good option for affected individuals.
Article Abstract
Background/aim: Chordomas often affect the sacrum with a high predilection for local-regional recurrence. Patients typically retain their ability to ambulate, and the development of metastatic disease in the periacetabular region can have significant morbidity and pain with ambulation. The purpose of the study was to describe the outcome of patients undergoing a hip arthroplasty following resection of a sacral chordoma.
Patients And Methods: From 1990 to 2015, 84 patients underwent sacrectomy for chordoma, while four of these (5%) patients underwent hip arthroplasty. The most common level of nerve root sacrifice was S2-5 (n=2). The mean time between sacrectomy and hip arthroplasty was 7 years. Indications for arthroplasty included metastatic disease (n=3) and coxarthrosis (n=1).
Results: Postoperatively two patients ambulated with a gait aid, and no patient had a Trendelenburg gait. The mean Harris Hip Score significantly improved from 49 to 80 postoperatively (p=0.02).
Conclusion: The results of this study indicate that hip arthroplasty is a durable treatment option for patients with metastatic disease or coxarthrosis following subtotal sacrectomy for chordoma.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652443 | PMC |
| http://dx.doi.org/10.21873/invivo.12068 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!