Vertebroplasty and interventional radiology procedures for bone metastases

Joint Bone Spine. 2018 Mar;85(2):191-199. doi: 10.1016/j.jbspin.2017.05.005. Epub 2017 May 9.


Advances in cancer treatments have lengthened the survival of patients with bone metastases. Optimal control of the symptoms and prevention of the complications associated with bone metastases improve quality of life. Achieving these goals increasingly involves interventional radiology procedures. These include bone consolidation and analgesic techniques such as cementoplasty (vertebroplasty at the spine); percutaneous implantation of screws, metallic reinforcement devices, or intraosseous implants; and tumor destruction using thermal methods (radiofrequency and cryotherapy), chemicals (alcohol), and drugs (chemoembolization), which have fewer indications. Here, these techniques and their indications are reviewed.

Keywords: Acetabulum; Bone metastases; Cementoplasty; Complications; Local treatments; Metastases; Vertebroplasty.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Bone Neoplasms / radiotherapy*
  • Bone Neoplasms / secondary
  • Bone Neoplasms / surgery*
  • Catheter Ablation / methods
  • Cementoplasty / methods
  • Clinical Decision-Making
  • Cryotherapy / methods
  • Disease-Free Survival
  • Female
  • Humans
  • Male
  • Pain Measurement
  • Patient Selection
  • Quality of Life
  • Radiology, Interventional / methods*
  • Risk Assessment
  • Spinal Neoplasms / radiotherapy*
  • Spinal Neoplasms / secondary
  • Spinal Neoplasms / surgery*
  • Survival Analysis
  • Treatment Outcome
  • Vertebroplasty / methods*