Pelvic Resections

It is a procedure that involves removing a tumor (usually malignant or benign aggressive) of the pelvis while preserving the lower limbs and surrounding tissues.

Pelvis Xr

What is a Pelvic Resections?

The pelvis is a common site for malignant and benign tumors to arise. The pelvis is composed of three parts; the ischium, illium, and pubis. The socket (hip joint) is called the acetabulum which forms the “cup.” Common primary sarcomas that can arise from the pelvis include osteosarcoma, Ewing’s Sarcoma, and chondrosarcoma. Soft tissue malignant tumors can sometimes involve the pelvis as well. Additionally, metastatic disease can commonly spread to the pelvis. Limb-sparing surgery can be performed for approximately 95% of tumors arising from the pelvis. In some instances the extremity cannot be saved and an amputation is performed. 

Contraindications for saving the limb may include neurovascular invasion, infection, pathological fracture, extensive disease, contamination from a poorly performed biopsy, recurrent disease.

Pelvic Tumor Removal



What’s involved in the technique?

What you can expect afterwards

After your surgery you will be recuperating at home. For the first few days you will ice the area and keep it elevated to reduce swelling. You will return to the office 2 weeks after surgery. Depending on what is done during surgery you may be non-weight bearing for a period of time. Once cleared, you will subsequently start physical therapy. We usually prescribe physical therapy 3 times a week for 12 weeks after surgery.

You will be monitored periodically with X-rays over the course of 5 years. Sometimes an MRI and/or CT may be used to additionally monitor the area to make sure the tumor has not come back. You will then have follow up appointments every 4 months for the first 2 years, then every 6 months for the next 2 years, and then once a year. Since the bone integrity has been restored to full or almost full, recovery is anticipated provided the patient adheres to strict physical therapy. 

Types Of Physical Therapy

Cryosurgery Video

Dr. James Wittig narrates a video illustrating the surgical technique for resection of a sacrococcygeal chordoma, using cryosurgery as an adjuvant therapy. | WATCH VIDEO