Strengthened cementoplasty utilizing devoted spindles within the administration of unstable malignant lesions of the cervicotrochanteric area.
Eur Radiol. 2017 Sep;27(9):3973-3982
Authors: Premat Okay, Clarençon F, Bonaccorsi R, Degos V, Cormier É, Chiras J
OBJECTIVES: In lengthy bones, cementoplasty alone doesn’t present ample stability, which can trigger secondary fractures. This research reviewed the security and efficacy of strengthened cementoplasty (RC) (percutaneous inside fixation utilizing devoted spindles mixed with cementoplasty) for unstable malignant lesions of the cervicotrochanteric area (CTR) of the proximal femur.
METHODS: Eighteen consecutive sufferers (9 ladies [50%] and 9 males [50%]; imply age 55.1?±?16.2 years; vary 22-85) underwent RC for 19 unstable lesions of the CTR (16/19 [84.2%] bone metastases, three/19 [15.8%] a number of myeloma lesions). All of the sufferers had been thought-about unsuitable for surgical procedure. Medical final result was judged with a imply follow-up of eight.eight?±?7.2 months (vary 1-27). The first endpoints had been prevalence of secondary fractures in the course of the follow-up interval and native ache reduction measured by a visible analogue scale (VAS).
RESULTS: No secondary fracture occurred. Imply VAS improved from 5.9?±?three.1 (vary Zero-10) to 2.three?±?2.four (vary Zero-7) at 1 month (p?=?Zero.001) to 1.6?±?1.7 (vary Zero-5) at closing follow-up (p?=?Zero.0002). One symptomatic cement pulmonary embolism was recorded.
CONCLUSION: RC is an authentic minimally invasive approach offering ache reduction and efficient bone stability for unstable malignant lesions of the cervicotrochanteric area in sufferers unsuitable for open surgical procedure.
KEY POINTS: • Strengthened cementoplasty (RC) combines intralesional spindling with cementoplasty. • RC supplies efficient bone stability and ache reduction. • RC is an appropriate minimally invasive possibility for sufferers in poor common situation.
PMID: 28289933 [PubMed – indexed for MEDLINE]