Percutaneous restoration of bone continuity with screws and PMMA cement in an extensive destruction of the pelvis

Abstract

We report a case of combined percutaneous screw placement and cementoplasty guided by CT and fluoroscopy in a 66-year-old man with extensive osteolytic destruction of the right iliac bone and sacral wing due to metastasic infiltrative vesical carcinoma. The medical condition was responsible for very limited and painful walking. Two perpendicular screws were inserted into the iliac bone and sacroiliac joint, and bone cement injection was used to anchor the screws and restore the mechanical continuity of the pelvis ring. This minimally invasive procedure allowed for significant and rapid resumption of painless walking.

Number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation is associated with complication rate

“…Surgical treatment of distal humerus fractures can lead to numerous complications, and previous studies have suggested that the number of screws in the distal (articular) segment may be associated with complication rate [ 4 , 6 – 10 , 14 , 15 ]. Our study supports using more than three articular screws in AO/OTA C-type distal humerus fractures, as we found a significant correlation between three or fewer articular screws and complication rate.…”

“…Although several studies have attributed non-union and other complications to plating, some studies have shown that screws play an important role in the success of the plating type [ 4 , 6 – 10 , 14 , 15 ]. Claessen et al found a stronger association between poor fixation of the distal fragment and revision for nonunion or implant complications than with plating type [ 6 ].…”