Translumbar amputation

Translumbar amputation

Six patients underwent translumbar amputation (TLA), a life-saving procedure, after standard modalities of therapy failed to control the progression of the disease. The primary diagnoses were as follows: pelvic arterial-venous (A-V) malformation, 1; sacral chordoma, 3; giant cell tumor of the sacrum...

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Bibliographic Details
Published in:Cancer Vol. 65; no. 12; p. 2668
Main Authors: Terz, J J, Schaffner, M J, Goodkin, R, Beatty, J D, Razor, B, Weliky, A, Shimabukuro, C
Format: Journal Article
Language:English
Published: United States 15-06-1990
Subjects:
Adolescent
Adult
Amputation - methods
Amputation - rehabilitation
Anesthesia, General
Arteriovenous Malformations - surgery
Chordoma - surgery
Female
Giant Cell Tumors - surgery
Humans
Lumbar Vertebrae
Male
Middle Aged
Ostomy
Paraplegia - surgery
Pelvic Neoplasms - surgery
Pelvis - blood supply
Physical Therapy Modalities
Pressure Ulcer - surgery
Prostheses and Implants
Spinal Canal - surgery
Spinal Neoplasms - surgery
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Summary:Six patients underwent translumbar amputation (TLA), a life-saving procedure, after standard modalities of therapy failed to control the progression of the disease. The primary diagnoses were as follows: pelvic arterial-venous (A-V) malformation, 1; sacral chordoma, 3; giant cell tumor of the sacrum, 1; and paraplegia with squamous cell cancer arising in intractable decubitus, 1. There were no operative deaths. The following postoperative complications developed in five patients: urinary fistulae, 2; small bowel obstruction, 1; intraabdominal bleeding, 1; hypertension, 2; small bowel fistula, 1; and dehiscence of skin closure, 1. Two patients died with distant metastases (24 months) and distant metastases with local recurrence (6 months). The remaining four patients were alive and well 72, 56, 48, and 18 months after the surgical procedure. All of these patients have reached the rehabilitation goals.
ISSN:0008-543X
DOI:10.1002/1097-0142(19900615)65:12<2668::AID-CNCR2820651212>3.0.CO;2-I