Abstract

Background: Sacrectomy involves challenges due to its anatomical complexity and immediate proximity to neurovascular structures.Sacral lesions become symptomatic only when they become large enough to compress adjacent nerves or pelvic organs. Patients often present with nonspecific low back painA variety of benign and malignant neoplasms can involve the sacrum. Metastatic lesions of the sacrum are far more common than primary malignancy. Its not uncommon for rectal carcinomas to involve the presacral fascia or the sacrum by direct invasion.

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