Tumoral Dissemination Along the Screw Trajectory in Percutaneous Osteosynthesis and Cementoplasty: A Non-described Complication

Cardiovasc Intervent Radiol. 2018 Feb;41(2):336-339. doi: 10.1007/s00270-017-1738-6. Epub 2017 Jul 6.

Abstract

Percutaneous osteosynthesis and cementoplasty (POC), a minimally invasive technique, is used for pain palliation and prevention of pathological fractures in cancer patients that are noncandidates for surgical stabilization. POC is a relatively new technique, and very few complications have been described thus far. In this case study, we report on a tumorous dissemination along the screw trajectory after POC was used for the prevention of an impending pathological fracture on a trochanteric metastasis.

Keywords: Interventional radiology; Pathological fracture prevention; Percutaneous osteosynthesis and cementoplasty; Screw trajectory; Tumorous dissemination.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bone Neoplasms / secondary
  • Bone Neoplasms / therapy*
  • Bone Screws*
  • Cementoplasty / methods*
  • Femur / diagnostic imaging
  • Femur / surgery
  • Fracture Fixation, Internal / methods*
  • Humans
  • Lung Neoplasms / pathology*
  • Male
  • Postoperative Complications / therapy*
  • Radiography, Interventional
  • Tomography, X-Ray Computed
  • Treatment Outcome