Excision of high sacral giant cell tumor and reconstruction with bone cement

We report the case of a woman who had a right sacroiliac giant cell tumor with S1 nerve root involvement. No specific functional defects were noted after she underwent combined anterior abdominal and posterior sacral approaches for tumor excision and reconstruction with bone cement. Our goal is to determine whether or not, with carefully planned procedures and delicate nerve protection, the biomechanical stability of the sacrum was affected after the tumor resection. We believe that bone cement impaction can be considered as an alternative reconstructive method instead of high-priced, complicated fixation devices or allografts that are not readily available.