Epidemiology of sacral tumors. review

Sacral tumors are very rare and consists about 1–7% of all spine tumors. Most of sacral tumors are metastatic tumors, the most often primary malignant tumor of the sacrum is chordoma. Treatment of patient with sacral tumors is still a difficult problem. Most of patients receive treatment from nononcological diseases and referred in specialized hospitals with hugе tumor. The sacrum has a complex anatomy due to its close relationship with major vessels, sacroiliac joints, sacral nerve roots and viscera like the bowel and rectum. This makes it hard to achieve wide surgical margins during surgery and increases perioperative morbidity and mortality. The understanding of tumor behavior will help to develop optimal treatment.