[Image-guided bone consolidation in oncology: Cementoplasty and percutaneous screw fixation].
Fiche publication
Date publication
mai 2017
Journal
Bulletin du cancer
Auteurs
Membres identifiés du Cancéropôle Est :
Dr CAZZATO Roberto-Luigi
Tous les auteurs :
Buy X, Cazzato RL, Catena V, Roubaud G, Kind M, Palussiere J
Lien Pubmed
Résumé
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.
Mots clés
Bone metastasis, Cementoplasty, Cimentoplastie, Interventional radiology, Métastases osseuses, Percutaneous screw fixation, Radiologie interventionnelle, Vertebroplasty, Vertébroplastie, Vissage percutané
Référence
Bull Cancer. 2017 05;104(5):423-432