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Commonly severe bony erosion is found on the undersurface of the sacral roof as shown in (a). The lamina of a sacral roof are repositioned and secured with titanium mini-plates following cyst imbrication, closure, and placement of fibrin glue sealant. The lamina of a sacral roof are repositioned and secured with titanium mini-plates following cyst imbrication, closure, and placement of fibrin glue sealant (b)
