Minimally Invasive Image-Guided Ablation, Osteoplasty, Reinforcement, and Internal Fixation (AORIF) for Osteolytic Lesions in the Pelvis and Periarticular Regions of Weight-Bearing Bones

Journal of Vascular and Interventional Radiology : JVIR
Francis Y LeeGary Friedlaender

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

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Citations

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

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