Cementoplasty and the oncologic population.
The first and only description of percutaneous cementoplasty, to date, has been described in the French medical literature in 1994. In this series of 12 cases, radiologists successfully instilled a cement derivative into the acetabulum under fluoroscopic control. As in these cases, the major indication for cementoplasty is to provide pain control and stabilization of an osteolytic lesion. Potential complications include physical or thermal damage to the adjacent neurovascular structures, either during needle positioning or from cement leakage, respectively. Although no absolute contraindications exist, one should proceed cautiously in patients with coagulopathies. Results may be suboptimal as well in patients with pathologic fractures.
Royal Victoria Hospital, 687 Pine Avenue West, Montreal, QC H3A 1A1, Canada. jchodge@rad.mgh.mcgill.ca
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Hodge
D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000556:secondary*; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D020366:Methylmethacrylate / Q000627:therapeutic use*; D008875:Middle Aged; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D010146:Pain / Q000209:etiology; D018579:Patient Selection; D015641:Radiography, Interventional / Q000379:methods*; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology; D016896:Treatment Outcome; D016474:Weight-Bearing
D020366:Methylmethacrylate