Novel Graft Technique for Lumbopelvic Reconstruction After Sacral Tumor Resection: A Case Report

JBJS Case Connect. 2021 Apr 16;11(2). doi: 10.2106/JBJS.CC.20.00269.


Case: Reconstruction after sacral tumor resection carries a high risk of nonunion and requires a slow return to weight-bearing. A bilateral iliac-crest graft, mobilized on a muscular pedicle, was used to graft and fuse the spine and pelvis after resection of a massive sacral schwannoma. Long-term follow-up and three-dimensional computed tomography imaging demonstrate rapid incorporation and solid fusion, with hypertrophy of the graft struts and excellent return to function.

Conclusion: This novel graft technique provides structural autograft bone that bridges the iliolumbar resection gap, providing a vascularized autograft that incorporates rapidly and reliably.

Publication types

  • Case Reports

MeSH terms

  • Bone Transplantation* / methods
  • Humans
  • Ilium / transplantation
  • Neurilemmoma*
  • Sacrococcygeal Region
  • Sacrum / diagnostic imaging
  • Sacrum / pathology
  • Sacrum / surgery