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Objective To observe the results of treatment the high level sacral tumors by the surgical technique of approach in anterior with posterior to curettage and local pouring chemotherapy with radiotherapy and to discuss the feasibility of this surgical technique.Methods 24 cases,include the oncology results,the functions of the sacral nerves and the complications were analyzed.Results Average follow up 56 months,3 malignant cases were died of the tumor metastasis.4 recurrent cases were recurred after treatment between 13 and 32 months.4 cases were found sinuses in the drainage tube.This surgical technique was not significant influence on the functions of the sacral nerves.Conclusions This method is safe and effectiveness in treatment of elevation sacral tumors.