Malignant acetabular osteolyses: percutaneous injection of acrylic bone cement.

Cotten, Anne; Deprez, X.; Migaud, Henri; Chabanne, B; Duquesnoy, B; Chastanet, P

doi:10.1148/radiology.197.1.7568843

Cited by 115 publications

(69 citation statements)

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“…Cement volumes as large as 15 mL 22 and as small as 1 mL 5 have been reported to result in pain relief and in satisfactory outcomes in patients with VCFs in other studies. The volume of cement injected for all vertebral levels ranged from 1 to 16 mL; for a mean of 5.1 mL, in our study.…”

Section: Discussionmentioning

confidence: 78%

Vertebroplasty: What Is Important and What Is Not

Al-Ali¹,

Barrow²,

Luke³

2009

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:It is important to try to clarify the methodology of vertebroplasty such as amount of cement needed, how many needles to use and the significance of cement extravasation. This prospective study evaluated the potential of vertebroplasty to increase the likelihood of an adjacent vertebral compression fracture (VCF) 1 year or less after vertebroplasty, the correlation between the cement volumes injected and pain relief, and the consequences of cement extravasation.

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Section: Discussionmentioning

confidence: 78%

Vertebroplasty: What Is Important and What Is Not

Al-Ali¹,

Barrow²,

Luke³

2009

AJNR Am J Neuroradiol

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“…[44][45][46] Its main effect is early and frequently striking pain relief, probably attributable to tumour necrosis and to reduced activity of pain-sensitive periosteal nerves by means of internal trabecular stabilization. The degree of filling of the lesion does not seem to be correlated with the analgesic response.…”

Section: -43mentioning

confidence: 99%

“…Methyl methacrylate injection of weightbearing parts of the acetabulum may also allow improvement in walking. [44][45][46][47][48][49] The decision to carry out this procedure should be made by a multidiscipinary team including interventional radiologists, orthopaedic surgeons, oncologists and radiotherapists. At least, CT should be performed before the procedure to assess the exact location and extent of the lesion and the presence of cortical destruction or fracture.…”

Section: -43mentioning

confidence: 99%

“…This procedure is particularly recommended for acetabular lesions which are not too extensive, allowing a mechanical effect to be expected, 46 but larger bone destructions can also be treated. 47,49 Side effects are transient worsening of pain and fever due to inflammatory reaction, 44 which can be minimized by the administration of non-steroidal anti-inflammatory drugs. Leakage of bone cement into the joint space is the principal complication associated with this technique.…”

Section: -43mentioning

confidence: 99%

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Interventional MSK procedures: the hip

Dodré¹,

Lefebvre²,

Cockenpot³

et al. 2016

BJR

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Percutaneous musculoskeletal procedures are widely accepted as low invasive, highly effective, efficient and safe methods in a vast amount of hip pathologies either in diagnostic or in therapeutic management. Hip intra-articular injections are used for the symptomatic treatment of osteoarthritis. Peritendinous or intrabursal corticosteroid injections can be used for the symptomatic treatment of greater trochanteric pain syndrome and anterior iliopsoas impingement. In past decades, the role of interventional radiology has rapidly increased in metastatic disease, thanks to the development of many ablative techniques. Image-guided percutaneous ablation of skeletal metastases provides a minimally invasive treatment option that appears to be a safe and effective palliative treatment for localized painful lytic lesion. Methods of tumour destruction based on temperature, such as radiofrequency ablation (RFA) and cryotherapy, are performed for the management of musculoskeletal metastases. MR-guided focused ultrasound surgery provides a non-invasive alternative to these ablative methods. Cementoplasty is now widely used for pain management and consolidation of acetabular metastases and can be combined with RFA. RFA is also used to treat benign tumours, namely osteoid osteomas. New interventional procedures such as percutaneous screw fixation are also proposed to treat non-displaced or minimally displaced acetabular roof fractures. INTRODUCTIONHip intra-articular injections have been used for many years as a diagnostic and/or therapeutic tool and even today remain an effective treatment for osteoarthritis providing pain relief. Ultrasound guidance can be used for injections in patients with greater trochanteric pain syndrome and CT scan guidance for corticosteroid injection in the management of anterior iliopsoas impingement after total hip arthroplasty. Interventional radiology plays a major role in the management of bone tumours. Several image-guided percutaneous ablation methods have proved effective for palliation of metastases involving bone and for the treatment of benign bone tumours, namely osteoid osteoma. To treat pain and consolidate the bone, cementoplasty could be required. In the therapeutic management of acetabular fractures, the combination of CT and fluoroscopy guidance could have a place in treating non-displaced or minimally displaced acetabular roof fractures.

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“…An alternative or additional way to limit balloon rupture consists of using a curette to break bone bridges and contusive bone fragments before inflating the balloon. Transient Hyperalgesia Transient hyperalgesia has been described after acrylic cement injection into the acetabulum 11 or after vertebroplasty procedures in Ͻ3% of cases. 12,13 Few publications have reported transient hyperalgesia after kyphoplasty.…”

Section: Balloon Rupture During Inflationmentioning

confidence: 99%