Main description:

This book provides an up-to-date overview on the epidemiology, clinical presentation, and imaging characteristics of sacral tumors, discusses the available treatment options, and reports the published outcomes. The diagnostic roles of conventional radiology, CT, and MRI are thoroughly described and imaging appearances are compared with the histologic features. The coverage of therapeutic approaches includes chemotherapy, radiotherapy, radiosurgery, and surgery (partial or total sacrectomy and spinopelvic reconstruction). Special attention is paid to the specific anatomic constraints that make tumors in this region of the spine more difficult to manage effectively than those in the extremities and the mobile portions of the spine.

All components of the sacrum can give rise to benign or malignant tumors, which pose significant diagnostic and therapeutic challenges. Although these tumors are often diagnosed at an advanced stage, good clinical outcomes may be achieved if an aggressive multidisciplinary approach is used. This book will be of value for a range of practitioners; it will assist in prompt diagnosis and help to overcome lack of familiarity with the required treatment strategies.

Contents:

PART 1: GENERAL ASPECTS

1) Surgical Anatomy of the Sacrum

2) Clinic and Neurologic Manifestations of Sacral Lesions

3) Epidemiology

4) Diagnostic Imaging

5) Staging and biopsy

6) Histopathology

PART 2: BENIGN LESIONS

7) Giant cell tumor

8) Osteoblastoma

9) Osteoid osteoma

10) Aneurysmal bone cyst

11) Scwannoma

12) Exostosis

13) Hemangioma

14) Other benign rare entities

PART 3: MALIGNANT LESIONS

15) Metastasis

16) Chordoma

17) Osteosarcoma

18) Ewing's Sarcoma

19) Myeloma

20) Lymphoma

21) Condrosarcoma

22) Other malignant rare entities

PART 4: TREATMENTS

23) Surgical Approaches to the Sacrum

24) Partial and total sacrectomy

25) Sacral Biomechanics and Reconstruction

26) Soft tissue reconstruction after sacral surgery

27) Embolization of Sacral Lesions

28) Radiation Therapy of Sacral Neoplasms