[Image-guided bone consolidation in oncology: Cementoplasty and percutaneous screw fixation].
Bone metastases are a common finding in oncology. They often induce pain but also fractures which impair quality of life, especially when involving weight-bearing bones. Percutaneous image-guided consolidation techniques play a major role for the management of bone metastases. Cementoplasty aims to stabilize bone and control pain by injecting acrylic cement into a weakened bone. This minimally invasive technique has proven its efficacy for bones submitted to compression forces: vertebra, acetabular roof, and condyles. However, long bone diaphysis should be treated with caution due to lower resistance of the cement subject to torsional forces. The recent improvements of navigation systems allow percutaneous image-guided screw fixation without requiring open surgery. This fast-track procedure avoids postponing introduction of systemic therapies. If needed, cementoplasty can be combined with screw insertion to ensure better anchoring in major osteolysis. Interventional radiology bone consolidation techniques increase the therapeutic field in oncology. A multidisciplinary approach remains mandatory to select the best indications.
Institut Bergonié, département de radiologie, 229, cours de l'Argonne, 33000 Bordeaux, France. Electronic address: xavier.buy@gmail.com.
Xavier
X
Buy
Institut Bergonié, département de radiologie, 229, cours de l'Argonne, 33000 Bordeaux, France.
Roberto Luigi
RL
Cazzato
Institut Bergonié, département de radiologie, 229, cours de l'Argonne, 33000 Bordeaux, France.
Vittorio
V
Catena
Institut Bergonié, département d'oncologie médicale, 229, cours de l'Argonne, 33000 Bordeaux, France.
Guilhem
G
Roubaud
Institut Bergonié, département de radiologie, 229, cours de l'Argonne, 33000 Bordeaux, France.
Michele
M
Kind
Institut Bergonié, département de radiologie, 229, cours de l'Argonne, 33000 Bordeaux, France.
Jean
J
Palussiere
D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy*; D001863:Bone Screws; D060826:Cementoplasty / Q000379:methods*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008768:Methylmethacrylates / Q000627:therapeutic use; D008875:Middle Aged; D059408:Pain Management / Q000379:methods; D011788:Quality of Life; D015641:Radiography, Interventional / Q000379:methods*; D013117:Spinal Cord Compression / Q000209:etiology / Q000628:therapy; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy
D001843:Bone Cements; D008768:Methylmethacrylates
Bone metastasis; Cementoplasty; Cimentoplastie; Interventional radiology; Métastases osseuses; Percutaneous screw fixation; Radiologie interventionnelle; Vertebroplasty; Vertébroplastie; Vissage percutané