The first experience of total sacral endoprothesis with an individual implant after total sacrectomy (a rare clinical case)

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Abstract

Bone sarcomas are one the rarest types of malignant tumors comprising only 0.2–1 % of oncological diseases. Chondrosarcoma is the 3rd most common bone sarcoma. This tumor is characterized by low sensitivity to drug and radiological treatment. According to literature data, the current golden standard of bone chondrosarcoma treatment is en bloc radical surgical resection with preservation of clean resection margins. However, common for this tumor location in the pelvic bones can pose difficulties at the stage of surgical planning.

The article presents a clinical case of surgical treatment of sacrum G2 chondrosarcoma in the volume of total sacrectomy with defect replacement using a personalized implant manufactured using a 3D printer and with lumbosacral stabilization.

About the authors

D. I. Sofronov

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

Author for correspondence.
Email: mdsofronov@mail.ru
ORCID iD: 0000-0001-9557-3685

Denis Igorevich Sofronov

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

K. N. Magomedova

Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

ORCID iD: 0009-0003-6356-9130

2/1 Barrikadnaya St., 123995 Moscow

Russian Federation

O. Efimenko

LLS “TIOS”

ORCID iD: 0000-0003-3635-4380

6 Novatorov St., Moscow 117393

Russian Federation

K. A. Borzov

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-3512-0390

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

A. V. Fedorova

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; Yaroslavl State Medical University, Ministry of Health of Russia

ORCID iD: 0000-0002-4516-3255

24 Kashirskoe Shosse, Moscow 115522; 5 Revolyucionnaya St., Yaroslavl 150000

Russian Federation

R. M. Kabardaev

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0001-9482-2504

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

A. M. Galustov

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-9019-8369

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

A. R. Shin

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

A. V. Sytov

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

A. K. Valiev

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-2038-3729

24 Kashirskoe Shosse, Moscow 115522

Russian Federation

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Copyright (c) 2025 Sofronov D.I., Magomedova K.N., Efimenko O., Borzov K.A., Fedorova A.V., Kabardaev R.M., Galustov A.M., Shin A.R., Sytov A.V., Valiev A.K.

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