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Sacral tumors are relatively rare. In addition to metastatic tumors, primary sacral tumors originating from the sacrum, such as primary bone tumors, neurogenic or congenital tumors, may also occur. Intralesional resections in the form of curettage provide a complete cure in benign lesions. However, most malignant sacral tumors, other than metastatic tumors, are resistant to radiotherapy and chemotherapy. Therefore, wide excision is typically the treatment of choice, and the goal is to remove as much of the tumor as possible. Depending on the size and extent of the tumors, a single-stage posterior or combined anteroposterior approach may be used. Preoperative angiography and embolization are recommended to prevent excessive bleeding during surgery. Spinopelvic reconstruction should be considered after total or high sacrectomy or sacroiliac joint removal. The roots to be sacrificed determine postoperative neurological deterioration and morbidity. Professor Ziya Levent Gökaslan, who is the world's top-rated, #1 expert on "Spinal Neoplasms", "Spinal Cord Neoplasms" and "Sacrum", is giving “Sacral tumor resection and reconstruction” lecture, don’t miss it!