{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:30:05Z","timestamp":1791257405497,"version":"4.1.0"},"reference-count":61,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>This is a technical note of pelvic reconstruction performed by an advanced multidisciplinary team. The authors report a new 3-stage reconstruction of the hemipelvis after Type 3 sacrectomy involving instrumented spinoiliac arthrodesis and pedicled fibula grafting in 2 patients.<\/jats:p>\n<jats:p>The anterior stage of the procedure begins with a transabdominal approach to mobilize the viscera and to free up the tumor from the vessels. The posterior divisions of internal iliac vessels, the middle sacral vessels, and the lateral sacral vessels are then ligated. An anterior vertebrectomy is done at the appropriate level, followed by an anterior osteotomy through the lateral planed surgical margin of the sacrum close to the salvaged sacroiliac joint. The second stage includes a major sacral resection with lower-extremity amputation from the pubic symphysis through the intact side of the sacrum, ipsilateral pedicled fibula harvesting, and closure with an ipsilateral pedicled quadriceps flap. The final stage involves reconstruction with lumboiliac instrumentation. The pedicled fibular graft left from the second stage is then placed distally within the previously created iliopectineal docking site and proximally within the L-5 docking site.<\/jats:p>\n<jats:p>The authors believe that this is a feasible and reproducible technique with theoretical advantages that have to be proved in the long-term follow-up.<\/jats:p>","DOI":"10.3171\/2014.1.spine13245","type":"journal-article","created":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T13:25:55Z","timestamp":1398432355000},"page":"195-202","source":"Crossref","is-referenced-by-count":5,"title":["A new type of reconstruction of the hemipelvis after Type 3 amputative sacrectomy using pedicled fibula"],"prefix":"10.3171","volume":"21","author":[{"given":"Konstantinos A.","family":"Starantzis","sequence":"first","affiliation":[{"name":"Centre for Spinal Studies and Surgery, Nottingham University Hospital, Queens Medical Centre, Nottingham, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios I.","family":"Sakellariou","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S.","family":"Rose","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Yaszemski","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panayiotis J.","family":"Papagelopoulos","sequence":"additional","affiliation":[{"name":"First Department of Orthopaedics, Athens University Medical School, Attikon University General Hospital, Chaidari, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine13245","series-title":"Skeletal Radiol","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1007\/BF02341666","article-title":"Transarticular invasion of joints by bone tumors: hypothesis","volume":"20","author":"Abdelwahab","year":"1991"},{"key":"b2-spine13245","series-title":"J Bone Joint Surg Br","first-page":"999","article-title":"The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy","volume":"92","author":"Akiyama","year":"2010"},{"key":"b3-spine13245","series-title":"Dis Colon Rectum","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1007\/BF02560329","article-title":"Anorectal continence and bladder function. 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