Cementoplasty for painful bone metastases: a series of 42 cases

Botton, Estelle; Edeline, Julien; Rolland, Yan; Vauléon, Élodie; Roux, C. Le; Mesbah, H.; Porée, Philippe; Audrain, Odile; Raoul, Jean‐Luc

doi:10.1007/s12032-011-9939-3

Cited by 27 publications

(9 citation statements)

References 12 publications

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“…[ 54 ] have conducted a study on a large group of patients with metastatic lung cancer to spinal, the majority of treated lesions with VP method were located in the thoracic with 134 lesions or lumbar with 119 lesion areas and their results showed a pain intensity reduction of at least 50%, as well as Botton et al. [ 55 ] conducted a similar research on 42 patients and they also defined treatment efficacy as good (57%, 24/42). Furthermore, Qian et al.…”

Section: Resultsmentioning

confidence: 99%

A review and update of vertebral fractures due to metastatic tumors of various sites to the spine: Percutaneous vertebroplasty

Mansoorinasab

Abdolhoseinpour

2018

Interventional Medicine and Applied Science

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BackgroundVertebral fractures (VFs) are the most usual convolution of metastatic tumors and the vertebral column is the third most ordinary site for painful bone metastases and remains a chief factor of morbidity in cancer patients.MethodsIn this paper, we investigated the previous literature on the status of clinical and prospects for the use of percutaneous vertebroplasty (PVP) with polymethylmethacrylate as a remedial alternative for the therapy of refractory pain resulting from malignant vertebral compression and pathologic fractures associated with metastatic tumors of various sites in numerous studies. The scientific document for this remedy, containing safety, immediate and long-term efficacy, and outcome measures, and also the risks of complications, was analyzed in detail.ResultsPVP is a safe, feasible, reliable, effective, and useful procedure, a minimally invasive treatment, and a significant tool for reduction of pain and the relief of pain symptoms.ConclusionsThis method can be employed as a further or narcotic remedy in elected patients. The techniques of PVP present a novel alternative therapy for diverse metastases with potentially large application.

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Section: Resultsmentioning

confidence: 99%

A review and update of vertebral fractures due to metastatic tumors of various sites to the spine: Percutaneous vertebroplasty

Mansoorinasab

Abdolhoseinpour

2018

Interventional Medicine and Applied Science

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“…Bipolar hemiarthroplasty is the main surgical treatment for femoral neck metastasis, but it is associated with the risk of major surgical complications, especially in patients with stage-IV cancer 15 . In recent years, percutaneous cementoplasty has been widely used to treat multiple bone metastases in flat bones as well as long bones and has achieved substantial pain reduction postoperatively 16 , 17 . Cementoplasty can be performed in combination with screw or nail insertion for the prevention of perioperative bone bleeding, the suppression of local tumor spreading, and the achievement of immediate mechanical stability 18 , 19 .…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Palliative Surgery for Femoral Neck Metastasis Using Hollow Perforated Screw Fixation and Bone Cement

Kim¹,

Kang²,

Lee³

et al. 2017

JBJS OA

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Background:We introduced a new surgical method of percutaneous hollow perforated screw (HPS) fixation with concomitant bone-cement injection for the treatment of femoral neck metastasis and evaluated its efficacy for the palliative treatment of patients with advanced cancer.Methods:The study included 87 patients (39 men and 48 women; mean age [and standard deviation], 64.2 ± 10.2 years; mean body mass index, 24.3 ± 3.2 kg/m2) who underwent percutaneous HPS fixation and cementoplasty (mean cement amount, 19.8 ± 8.3 mL) for the treatment of unilateral or bilateral femoral neck metastasis (total, 95 sites). Anesthesia type, operative time, operative blood loss, pain score changes (according to a visual analog scale [VAS]), walking status, and complications were assessed. The mean duration of follow-up was 10.1 ± 10.8 months (range, 2 to 43 months).Results:The majority of procedures were performed with local (3 patients) or spinal (72 patients) anesthesia (total, 75 patients; 86.2%). The mean operative time was 35.9 minutes, and the mean operative blood loss was 97.0 mL. The VAS score for pain improved significantly, from 6.8 ± 2.8 preoperatively to 2.8 ± 2.3 and 2.9 ± 2.8 at 1 and 6 weeks postoperatively (p < 0.001). At 6 weeks postoperatively, 63 (80.8%) of 78 patients were able to walk (with either normal or limping gait, a cane or crutch, or a walker). The prevalence of major local complications (cement leakage into the hip joint, fixation failure) was 10.5% (10 of 95), but major systemic complications (distant cement embolism) were not found.Conclusions:Percutaneous HPS fixation and cementoplasty for the treatment of femoral neck metastasis is a minimally invasive technique that provides effective pain relief and early stabilization. This technique seems to be useful for patients with advanced cancer for whom open surgery would be hazardous.Level of Evidence:Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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“…Both modalities will cause tumor death, but the combination decreases the risk of recurrence at the augmentation site [12], [13].…”

Section: Discussionmentioning

confidence: 99%

Colon cancer metastasis to the sternum: palliative treatment with radiofrequency ablation and cement injection

Wessel

Coldwell

2016

Radiology Case Reports

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Colon cancer metastasis to bone is extremely rare and has devastating consequences on patients’ quality of life. Furthermore, radiofrequency ablation in conjunction with cementoplasty to nonweight bearing, flat bones has not been widely reported as palliative treatment for pain as a result of bone metastasis. Here, we present a case of a 47-year-old man who developed a sternal metastasis from an invasive adenocarcinoma of the colon originally diagnosed several years prior. The pain from the metastasis was originally treated with external beam radiation therapy, but after 6 weeks of continuous pain, it was retreated using radiofrequency ablation in conjunction with cementoplasty.

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Cementoplasty for painful bone metastases: a series of 42 cases

Cited by 27 publications

References 12 publications

A review and update of vertebral fractures due to metastatic tumors of various sites to the spine: Percutaneous vertebroplasty

A review and update of vertebral fractures due to metastatic tumors of various sites to the spine: Percutaneous vertebroplasty

Percutaneous Palliative Surgery for Femoral Neck Metastasis Using Hollow Perforated Screw Fixation and Bone Cement

Colon cancer metastasis to the sternum: palliative treatment with radiofrequency ablation and cement injection

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