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Combination of Percutaneous Screw Fixation and Cementoplasty for Lytic Bone Metastases: Feasibility, Safety and Clinical Outcomes

Combination of Percutaneous Screw Fixation and Cementoplasty for Lytic Bone Metastases:... ObjectiveTo evaluate feasibility, safety and efficacy of a combination of screw fixation and cementoplasty for pathologic bone fracture.MethodsIn this single-center prospective study, all consecutive percutaneous screw fixations under assisted CT guidance for palliation and fracture treatment of pathologic bone fracture were reviewed from July 2019 to February 2021. The primary outcome measure was the procedures’ technical success, defined as the correct placement of the screw(s), without any complications. Secondary outcome measures were the safety, the procedures’ early analgesic effects and impacts on quality of life at 4 weeks.ResultsTechnical success was achieved in 11/11 procedures (100%) among 11 patients. No major complications attributable to the procedure were noted. The mean pain scored significantly decreased at the initial follow-up: 8.0 ± 2.7 versus 1.6 ± 2.5 (p < 0.05). Opioid doses were statistically lower after procedure: 70.9 ± 37 versus 48.2 ± 46 mg/day (p < 0.05). The mean EQ5D score had significantly increased by the early post-procedure consultation: 42.5 ± 13.6 vs 63.6 ± 10.3 (p < 0.05).ConclusionCombination of percutaneous screw fixation and cementoplasty for pathologic bone fracture is feasible and safe. It is efficient to reduce pain, decrease the consumption of opioids and improve the quality of life at 4 weeks after the procedure. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png CardioVascular and Interventional Radiology Springer Journals

Combination of Percutaneous Screw Fixation and Cementoplasty for Lytic Bone Metastases: Feasibility, Safety and Clinical Outcomes

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References (35)

Publisher
Springer Journals
Copyright
Copyright © Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2022
ISSN
0174-1551
eISSN
1432-086X
DOI
10.1007/s00270-022-03186-z
Publisher site
See Article on Publisher Site

Abstract

ObjectiveTo evaluate feasibility, safety and efficacy of a combination of screw fixation and cementoplasty for pathologic bone fracture.MethodsIn this single-center prospective study, all consecutive percutaneous screw fixations under assisted CT guidance for palliation and fracture treatment of pathologic bone fracture were reviewed from July 2019 to February 2021. The primary outcome measure was the procedures’ technical success, defined as the correct placement of the screw(s), without any complications. Secondary outcome measures were the safety, the procedures’ early analgesic effects and impacts on quality of life at 4 weeks.ResultsTechnical success was achieved in 11/11 procedures (100%) among 11 patients. No major complications attributable to the procedure were noted. The mean pain scored significantly decreased at the initial follow-up: 8.0 ± 2.7 versus 1.6 ± 2.5 (p < 0.05). Opioid doses were statistically lower after procedure: 70.9 ± 37 versus 48.2 ± 46 mg/day (p < 0.05). The mean EQ5D score had significantly increased by the early post-procedure consultation: 42.5 ± 13.6 vs 63.6 ± 10.3 (p < 0.05).ConclusionCombination of percutaneous screw fixation and cementoplasty for pathologic bone fracture is feasible and safe. It is efficient to reduce pain, decrease the consumption of opioids and improve the quality of life at 4 weeks after the procedure.

Journal

CardioVascular and Interventional RadiologySpringer Journals

Published: Aug 1, 2022

Keywords: Screw fixation; Cementoplasty; Interventional radiology; Pain management

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