Abstract
To assess early outcome, safety, and complications of an alternative to open surgical treatments of osteolytic lesions in periarticular load-bearing bones. A single-center, prospective clinical cohort study of 26 lesions in 23 consecutive patients with painful osteolytic skeletal lesions was performed. Patients were followed for an average of 7 mo (1-18 mo). Lesions were targeted from the most intact bone via minimally invasive percutaneous approach for stable anchorage of internal fixation screws using fluoroscopic guidance. Cannulated screws served as universal portals for ablation, balloon osteoplasty, and delivery of bone cement in addition to internal fixation for cement anchoring and prophylactic stabilization of uninvolved bone. There were 19 osteolytic lesions in the pelvis, 4 in the proximal femur, 2 in the proximal tibia, and 1 in the calcaneus. All defects were associated with severe pain or fractures. There were no conversions to open surgery and no infection or bleeding requiring transfusion, embolization, or additional procedures. There was significant improvement in visual analogue scale (VAS) pain score from 8.32 ± 1.70 to 2.36 ± 2.23, combined pain and functional ambulation score from 4.48 ± 2.84 to 7.28 ± 2.76...Continue Reading
References
Aug 1, 1996·Acta Orthopaedica Scandinavica·T OzakiW Winkelmann
Jul 3, 2003·Archives of Orthopaedic and Trauma Surgery·A HillmannT Ozaki
Mar 26, 2015·Journal of Vascular and Interventional Radiology : JVIR·A Nicholas KurupMatthew R Callstrom
Sep 1, 2015·European Radiology·Frederic DeschampsLambros Tselikas
Sep 27, 2015·Skeletal Radiology·Adam N WallaceJack W Jennings
May 26, 2016·Nature Reviews. Cancer·Peter I CroucherT John Martin
Jun 4, 2016·Cardiovascular and Interventional Radiology·Roberto Luigi CazzatoAfshin Gangi
Nov 22, 2016·The Cancer Journal·Anil Nicholas Kurup, Matthew R Callstrom
Dec 14, 2016·Computer Methods in Biomechanics and Biomedical Engineering·Peter Vanden BergheJos Vander Sloten
Feb 14, 2017·Skeletal Radiology·Claudio PuscedduLuca Melis
Oct 29, 2017·Calcified Tissue International·Sofia Sousa, Philippe Clézardin
Sep 30, 2018·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Daniel F FeeneyRoger M Enoka
Nov 14, 2018·Radiology·Charles RouxFrederic Deschamps
Feb 28, 2019·American Journal of Clinical Oncology·David D Greenberg, Francis Y Lee
Citations
Oct 7, 2020·Radiology·Michael DassaFrédéric Deschamps
Dec 11, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·William B LeaMei Wang
Mar 24, 2020·Journal of Vascular and Interventional Radiology : JVIR·Julien Garnon, Jack W Jennings
Feb 1, 2021·Diagnostic and Interventional Imaging·Pierre-A AutrusseauAfshin Gangi
Jul 22, 2021·Current Oncology·Aaron GazendamMichelle Ghert
Aug 28, 2021·Annals of Surgical Oncology·Jong Woong ParkHan-Soo Kim
Sep 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Anderanik Tomasian, Jack W Jennings