title: An ice block: a novel technique of successful prevention of cement leakage using an ice ball.
abstract: We report three cases of painful bone metastases with extraosseous invasion treated with cementoplasty and cryoablation. Due to significant cortical loss in all cases, the ice ball was used simultaneously during cementoplasty to deter potential cement leakage. This was achieved by direct application of the ice ball against the cortical surface, resulting in adequate consolidation and successful containment of the cement within the treated bones. To the authors' knowledge, this is the first report to describe such a combined technique.
authors.affiliation: The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, London, HA7 4LP, UK, uri.isaac@gmail.com.
authors.forename: Ishaq Fahmi
authors.initials: IF
authors.lastname: Uri
authors.forename: Julien
authors.initials: J
authors.lastname: Garnon
authors.forename: Georgia
authors.initials: G
authors.lastname: Tsoumakidou
authors.forename: Afshin
authors.initials: A
authors.lastname: Gangi
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D060826:Cementoplasty / Q000379:methods*; D003452:Cryosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D007053:Ice; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000000981:diagnostic imaging; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements; D007053:Ice