Percutaneous cementoplasty for the treatment of extraspinal painful bone lesion, a prospective study

Abstract

In our experience, percutaneous cementoplasty may be a safe and effective palliative treatment for localized painful lytic lesion. Combining CT and fluoroscopic guidance seems to be the safer option because of extravertebral localization. Smart fill of the bone and careful selection of patient determine the effectiveness of the procedure. Diffuse painful lesions and long bone diaphysis should not be good indications.

CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients

“…After lung and liver, osseous metastases, particularly osteolytic bone metastases, are among the most common types of metastases to occur in advanced cancer, and the majority of the affected patients suffer from severe pain refractory to common treatment methods (2,37). The majority (66%) of bone metastases are extraspinal, with the major proportion in the pelvis and sacrum (38,39). After pain therapy, surgery, and chemotherapy, radiation is the treatment of choice in the palliation of bone malignancy; however, it has a late onset of therapeutic effects of up to 12-20 weeks (40).…”

Radiologie interventionnelle des métastases osseuses

“…Les principales indications concernent la stabilisation du cotyle [13][14][15], du sacrum [16], de la tête humérale, voire des régions intertrochantériennes. La technique est la même que celle employée pour la vertébroplastie ; le geste est réalisé en salle de radiologie interventionnelle avec mise en place du ou de(s) trocart(s) sous contrôle radiologique (scopique ou scanner) et injection radioguidée du ciment dans la lésion.…”

Interventional Radiologist's perspective on the management of bone metastatic disease

“…In fact, any kind of IR bone procedure needs a strict sterile environment and prophylactic intra-operative antibiotic coverage (1 g cefazolin i.v.). 25 Careful anesthesiological evaluation is advised before IR procedures. In fact, bone procedures are usually painful 25 thus requiring some kind of intra-operative anesthesiological assistance ranging from mild conscious sedation to general anesthesia.…”