Percutaneous osteosynthesis in the pelvis in cancer patients

European Radiology
Frederic DeschampsLambros Tselikas

Abstract

Screw fixation (osteosynthesis) can be performed percutaneously by interventional radiologists. We report our experience in cancer patients. We retrospectively reviewed all cases of percutaneous osteosynthesis (PO) of the pelvic ring and proximal femur performed in our hospital. PO were performed for fracture palliation or for osteolytic metastases consolidation. Screws were inserted under CT- or cone-beam CT- guidance and general anaesthesia. Patients were followed-up with pelvic-CT and medical consultation at 1 month, then every 3 months. For fractures, the goal was pain palliation and for osteolytic metastases, pathologic fracture prevention. Between February 2010 and August 2014, 64 cancer patients were treated with PO. Twenty-one patients had PO alone for 33 painful fractures (13 bone-insufficiency, 20 pathologic fractures). The pain was significantly improved at 1 month (VAS score = 20/100 vs. 80/100). In addition, 43 cancer patients were preventively consolidated using PO plus cementoplasty for 45 impending pathologic fractures (10 iliac crests, 35 proximal femurs). For the iliac crests, no fracture occurred (median-FU = 75 days). For the proximal femurs, 2 pathological fractures occurred (fracture rate = 5.7 %, median-F...Continue Reading

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Citations

Nov 12, 2016·Medical Oncology·Roberto Luigi CazzatoAfshin Gangi
Nov 22, 2016·The Cancer Journal·Anil Nicholas Kurup, Matthew R Callstrom
Feb 7, 2019·Insights Into Imaging·Roberto Luigi CazzatoAfshin Gangi
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Sep 5, 2019·Cardiovascular and Interventional Radiology·Benjamin PoussotLambros Tselikas
Apr 17, 2020·Current Oncology Reports·Dimitrios K FilippiadisSteven Yevich
Feb 12, 2017·Journal of Orthopaedic Surgery and Research·François H CornelisFrédéric Deschamps
Jul 8, 2017·Cardiovascular and Interventional Radiology·Ana Gjorgjievska DelovCharles Mastier
Aug 14, 2020·The British Journal of Radiology·Roberto Luigi CazzatoAfshin Gangi
Aug 28, 2020·Cardiovascular and Interventional Radiology·Julien GarnonAfshin Gangi
Dec 11, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·William B LeaMei Wang
Jan 4, 2021·Cardiovascular and Interventional Radiology·Pierre-Alexis AutrusseauJulien Garnon
Dec 17, 2020·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Pierre De MariniAfshin Gangi
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Sep 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Anderanik Tomasian, Jack W Jennings

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