CT-guided percutaneous screw fixation plus cementoplasty in the treatment of painful bone metastases with fractures or a high risk of pathological fracture

Abstract

Our results suggest that PSFPC might be a safe and effective procedure that allows the stabilization of the fracture and the prevention of pathological fractures with significant pain relief and good recovery of walking ability, although further studies are required to confirm this preliminary experience.

Percutaneous Fixation by Internal Cemented Screw for the Treatment of Unstable Osseous Disease in Cancer Patients

“…17 Similar results have been confirmed by two additional studies. 20,27 Pusceddu et al have demonstrated that the mean VAS score decreased from 7.1 before treatment to 1.6 at 1 month and to 1.4/10 at 6 months, demonstrating a long-term effect. 20 Similarly, a double-center retrospective analysis of percutaneous FICS demonstrated 87.1% rate of pain improvement in a series of cancer patients that included 25 pelvic locations.…”

“…The technique is predominantly applied in the pelvic flat bones or femoral neck, although recent studies have suggested a potential role in other locations. 20,24 Applications for both prophylactic treatment and fixation of fractures have been evaluated.…”

“…For the palliative application of percutaneous FICS in the pelvic location, several studies have been demonstrated safe and effective application. 17,20,29 The largest series was published in 2014, with 21 patients suffering from 33 pelvic fractures. Significant pain improvement was reported with mean postprocedure VAS score at 1 month of 2.5/10 compared with 8/10 before the procedure.…”

“…Several small series have demonstrated the technical successes and short-term outcomes for percutaneous FICS using either fluoroscopic or CT guidance. [17][18][19][20][21][22][23] In this article, the application of percutaneous FICS is examined for the treatment of unstable osseous disease within the cancer population. Clinical indications with pertinent literature are examined.…”

Interventional Techniques for the Ablation and Augmentation of Extraspinal Lytic Bone Metastases

“…PS with pins, screws, or a combination of these materials to reinforce bone weakened by metastases has been described only in small retrospective and prospective series in the IR literature. 13,26,27 These options are typically utilized in locations that experience torsional forces, for example, the femoral neck and the humerus. In these early studies, PS has demonstrated reduced fracture rates, reduced pain, and improved function.…”