Iliosacral resection for primary @entity3478 creates a large unstable pelvic ring defect, the treatment of which remains controversial. We did this study to determine if skeletal reconstruction of such defects is necessary. Sixteen @entity1 whose data were collected prospectively had iliosacral resection with a minimum followup of 12 months. The surgical and functional results of @entity1 who had skeletal reconstruction (n = 4) were compared with the results of @entity1 who did not have iliosacral repair (n = 12) using a case-control design. Function was evaluated by assessing impairment using the Musculoskeletal Tumor Society 1987 and 1993 rating scales, and disability was measured using the Toronto Extremity Salvage Score. Although all four iliosacral arthrodeses initially healed, one allograft used for reconstruction fractured and another was removed because of progressive @entity1344 . @entity1 treated without pelvic reconstruction had fewer operative complications. Although the Toronto Extremity Salvage Score and the Musculoskeletal Tumor Society 1987 and 1993 scores were similar for both @entity1 groups, those @entity1 who were treated without reconstruction were less likely to require the use of an ambulatory assistive device, less likely to require narcotics or have @entity1118 , and more likely to return to work. These results suggest that reconstruction of the skeletal defect to restore pelvic stability after iliosacral resection is not mandatory. LEVEL OF EVIDENCE: Therapeutic study, Level III-1 (case-control study). See the Guidelines for Authors for a complete description of levels of evidence.

Iliosacral resection for primary XXXX : is pelvic reconstruction necessary?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['chronic pain'] @entity1344 :: ('MESH:D043171', 'Disease') :: ['lumbosacral spinal instability'] @entity3478 :: ('MESH:D001859', 'Disease') :: ['bone tumors']
@entity3478 :: (MESH:D001859,Disease) :: ['bone tumors']
