{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T15:47:17Z","timestamp":1773848837293,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Giant cell tumor (GCT) is a benign tumor with progressive and destructive characteristics involving metaphysis, with extension to the epiphyseal tissue, en-bloc resection surgery is the main choice for surgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Our case report will discuss en bloc resection with pre-operative embolization for treating GCT in the sacrum to reduce the incidence of intraoperative bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 33-year-old woman complained of low back pain radiating to the left leg that had been present for one year. Lumbosacral X-ray examination revealed a destructive osteolytic lesion involving the sacrum I-III and left iliac bones surrounded by soft tissue mass. The surgery on the patient 24 h later included installing posterior pedicle screw instrumentation on the 3rd and 4th lumbar, iliac screw, and using bone cement. After that, we performed a curettage on the mass and filled it with a bone graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Non-surgical GCT management is effective but has a high local recurrence rate when used alongside curettage. Intralesional resection and en bloc resection are the most common surgical treatments. GCT with pathological fractures requires more invasive procedures, such as en-bloc resection, but excision can be performed to minimize surgical complications. Arterial embolization is a curative therapy for GCT sacral tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>En-bloc resection with pre-operative arterial embolization for treating GCT can reduce the incidence of intraoperative bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.108324","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T07:23:34Z","timestamp":1684135414000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Single staged en-bloc sacrectomy in giant cell tumor of sacrum using pre-operative embolization"],"prefix":"10.1097","volume":"107","author":[{"given":"Andhika","family":"Yudistira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achmad Bayhaqi Nasir","family":"Aslam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syaifullah","family":"Asmiragani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ery","family":"Satriawan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilang","family":"Airlangga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-26-20260318","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4274\/jtss.galenos.2020.42","article-title":"Giant cell tumor of the sacrum and current treatment strategies","volume":"31","author":"Oner","year":"2020","journal-title":"J. Turk. Spinal Surg"},{"key":"R2-26-20260318","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/08998280.2020.1801327","article-title":"Giant cell tumor of the sacrum","volume":"34","author":"Rizkalla","year":"2021","journal-title":"Bayl. Univ. Med. Cent. Proc"},{"key":"R3-26-20260318","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1177\/147323001204000203","article-title":"Current treatment of sacral giant cell tumour of bone: a review","volume":"40","author":"Shen","year":"2012","journal-title":"J. Int. Med. Res"},{"key":"R5-26-20260318","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical case report (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R10-26-20260318","doi-asserted-by":"crossref","first-page":"2425","DOI":"10.1016\/j.ejca.2014.06.003","article-title":"Adjuvant treatment with zoledronic acid after extensive curettage for giant cell tumours of bone","volume":"50","author":"Gouin","year":"2014","journal-title":"Eur. J. Cancer"},{"key":"R11-26-20260318","doi-asserted-by":"crossref","first-page":"496","DOI":"10.2106\/JBJS.17.00057","article-title":"Denosumab may increase the risk of local recurrence in patients with giant-cell tumor of bone treated with curettage","volume":"100","author":"Errani","year":"2018","journal-title":"J. Bone Joint Surg. Am"},{"key":"R12-26-20260318","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s00264-020-04836-y","article-title":"Extended curettage versus en bloc resection for the treatment of grade 3 giant cell tumour of the knee with pathologic fracture: a retrospective study","volume":"45","author":"Jamshidi","year":"2021","journal-title":"Int. Orthop"},{"key":"R13-26-20260318","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s10195-016-0397-8","article-title":"Curettage with cement augmentation of large bone defects in giant cell tumors with pathological fractures in lower-extremity long bones","volume":"17","author":"Gupta","year":"2016","journal-title":"J. Orthop. Traumatol"},{"key":"R14-26-20260318","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/0019-5413.32040","article-title":"Giant cell tumor of bone: is curettage the answer?","volume":"41","author":"Rastogi","year":"2007","journal-title":"Indian J. Orthop"},{"key":"R16-26-20260318","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1302\/0301-620X.100B12.BJJ-2018-0189.R2","article-title":"Prognostic factors for local recurrence in extremity-located giant cell tumours of bone with pathological fracture","volume":"100","author":"Medellin","year":"2018","journal-title":"Bone Joint J"},{"key":"R17-26-20260318","doi-asserted-by":"crossref","first-page":"575","DOI":"10.36347\/sjmcr.2020.v08i05.022","article-title":"Management of sacral giant cell tumor of bone by embolization: case report and literature review","volume":"8","author":"Laatitioui","year":"2020","journal-title":"Sch. J. Med. Case Rep"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223004522?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223004522?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:01:49Z","timestamp":1773828109000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108324"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.108324","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]}}}