Evaluation of short-term efficacy of extraspinal cementoplasty for bone metastasis: A monocenter study of 31 patients

Couraud, Gaëlle; Gaston, A.; Thuillier, Titien; Eymard, Florent; Hourdille, Alexia; Chevalier, X.; Boussion, H.; Guignard, Sandra

doi:10.1016/j.jbo.2018.09.004

Cited by 9 publications

(7 citation statements)

References 21 publications

(28 reference statements)

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“…They demonstrated that it was a feasible and safe technique with excellent cement filling and minimal cement spillage. Similar results were found by Couraud et al who demonstrated a reduction in pain and improvement in quality of life utilizing this technique ( Figure 4 ) [ 17 ]. Cementoplasty can also be combined with percutaneous radiofrequency ablation and can aid in tumor destruction and increase the cement filling rate [ 14 , 29 ].…”

Section: Novel Techniquessupporting

confidence: 88%

“…The patient underwent balloon augmented cementoplasty ( B – D ). Images borrowed from Couraud et al (2018) [ 17 ].…”

Section: Figurementioning

confidence: 99%

“…This technique is not appropriate for larger, more destructive lesions in which the structural integrity of the acetabulum is compromised [ 16 ]. Additionally, cementoplasty may not provide adequate longer-term relief—and the risk of future pathologic fracture persists [ 15 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

et al. 2021

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The pelvis is a common site of metastatic bone disease. Peri-acetabular lesions are particularly challenging and can cause severe pain, disability and pathologic fractures. Surgical management of these lesions has historically consisted of cementoplasty for contained lesions and Harrington reconstructions for larger, more destructive lesions. Due to the limitations of these procedures, a number of novel procedures have been developed to manage this challenging problem. Percutaneous techniques—including acetabular screw fixation and cementoplasty augmented with screws—have been developed to minimize surgical morbidity. Recent literature has demonstrated a reliable reduction in pain and improvement in function in appropriately selected patients. Several adjuncts to the Harrington procedure have been utilized in recent years to reduce complication rates. The use of constrained liners and dual mobility bearings have reduced the historically high dislocation rates. Cage constructs and porous tantalum implants are becoming increasingly common in the management of large bony defects and destructive lesions. With novel and evolving surgical techniques, surgeons are presented with a variety of surgical options to manage this challenging condition. Physicians must take into account the patients’ overall health status, oncologic prognosis and anatomic location and extent of disease when developing an appropriate surgical plan.

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Section: Novel Techniquessupporting

confidence: 88%

“…The patient underwent balloon augmented cementoplasty ( B – D ). Images borrowed from Couraud et al (2018) [ 17 ].…”

Section: Figurementioning

confidence: 99%

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Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

et al. 2021

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“…First described in 1995 by Cotten et al 15 , cementation or acetabuloplasty without screw fixation forms another percutaneous option for the treatment of metastatic disease that has grown to become well established within the literature [15][16][17][18] . It is associated with a decrease in pain postoperatively, ranging from complete pain relief to a meaningful reduction in pain 16,19 .…”

Section: Reinforcement With Cement Alonementioning

confidence: 99%

Emerging Minimally Invasive Percutaneous Procedures for Periacetabular Osteolytic Metastases

Ibe

Dussik

Callan

et al. 2023

Journal of Bone and Joint Surgery

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Periacetabular osteolytic skeletal metastases are frequently associated with pain and impaired ambulatory function. Minimally invasive techniques allow for the restoration of ambulation without interrupting critical systemic cancer therapy.The open surgical management of massive periacetabular osteolytic lesions, such as by curettage, internal fixation, or complex total hip reconstruction, is associated with blood loss, hospitalization, rehabilitation, and complications such as infection or delayed wound-healing.Minimally invasive percutaneous procedures have become increasingly popular for the management of periacetabular osteolytic metastases by interventional oncologists and orthopaedic surgeons before complex open surgical procedures are considered.Minimally invasive procedures may include various methods of cancer ablation and reinforcement techniques. Minimally invasive procedures may entail cancer ablation, polymethylmethacrylate (PMMA) cement reinforcement, balloon osteoplasty, percutaneous screw fixation, or combinations of the aforementioned techniques (e.g., ablation-osteoplasty-reinforcement-internal fixation [AORIF]).

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“…3 Fortunately, newer percutaneous techniques including a combination of cementation, internal fixation, and ablation that aim to address these bone lesions have been developed and are gaining popularity due to their lessinvasive nature. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] Early studies have demonstrated promising results with regard to return of function, palliation, and short-/long-term results. 14,18 However, there remains a paucity of high-quality literature to describe the outcomes of such techniques.…”

mentioning

confidence: 99%

Percutaneous Cementation for Improvement of Pain and Function for Osteolytic Pelvic Metastasis: A Systematic Review

Hirase,

Rowan,

Jacob

et al. 2024

J Am Acad Orthop Surg

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Introduction: Pelvic metastasis is a common presentation among patients presenting with skeletal metastasis. Image-guided percutaneous cementation of these lesions is becoming increasingly popular for the treatment of these lesions. The objective of this study was to conduct a systematic review that investigates clinical outcomes after percutaneous cementation for pelvic metastasis. Methods: A systematic review was registered with International Prospective Register of Systematic Reviews and performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the PubMed, SCOPUS, and Ovid MEDLINE databases. All level I to IV clinical studies published in the English language investigating the clinical outcomes after percutaneous cementation for pelvic metastasis were included. Results: Fourteen studies with 579 patients (278 men, 301 women) and 631 metastatic pelvic lesions were included in the study. The mean follow-up range was 0.7 to 26.4 months. Percutaneous cementation alone was performed in 441 patients (76.2%). Supplemental ablative procedures were performed in 77 patients (13.3%), and supplemental internal fixation using cannulated screws was performed in 107 patients (18.5%). Twelve studies with 430 patients (74.2%) reported pain-related and/or functional outcome scores, of which all studies reported overall clinically notable improvement at short-term follow-up. All studies reported periprocedural complications. Local cement leakage was the most common complication (162/631 lesions, 25.7%) followed by transient local pain (25/579 patients, 4.3%). There were no reported cases of major complications. Seven patients (1.2%) underwent re-intervention for persistent symptoms. Conclusions: Percutaneous cementation may be an effective method for treating pain and function related to pelvic metastasis. The most common complication was cement leakage surrounding the lesion. The rates of major complications were low, and most complications appeared minor and transient. Additional prospective studies are needed to further assess the efficacy of this procedure. Level of evidence: IV, systematic review of level I to IV therapeutic studies.

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Evaluation of short-term efficacy of extraspinal cementoplasty for bone metastasis: A monocenter study of 31 patients

Cited by 9 publications

References 21 publications

Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

Emerging Minimally Invasive Percutaneous Procedures for Periacetabular Osteolytic Metastases

Percutaneous Cementation for Improvement of Pain and Function for Osteolytic Pelvic Metastasis: A Systematic Review

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