title: Fracture risk with pressurized-spray cryosurgery.
abstract: Forty-two patients treated with curettage, burring, direct pressurized cryotherapy, and bone grafting or cementation were retrospectively reviewed. There were no pathologic fractures in this study group, compared with a 17% fracture rate in recent studies using the "direct pour" technique. Direct pressurized cryotherapy was used in 3 separate freezing cycles in each case. This approach may significantly reduce the risk for fracture compared with historical controls using the direct-pour technique.
authors.affiliation: Johns Hopkins University, Baltimore, MD, USA.
authors.forename: R Jay
authors.initials: RJ
authors.lastname: Lee
authors.forename: Joel L
authors.initials: JL
authors.lastname: Mayerson
authors.forename: Martha
authors.initials: M
authors.lastname: Crist
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D003452:Cryosurgery / Q000009:adverse effects / Q000379:methods; D003475:Curettage / Q000009:adverse effects; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications; D011312:Pressure / Q000009:adverse effects*; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult