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CardioVascular and Interventional Radiology

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01-01-2020 | Analgesics in Dentistry | Clinical Investigation

Percutaneous Fixation by Internal Cemented Screws of the Sternum

Authors: Benjamin Poussot, Frederic Deschamps, Florent Varin, Abdelhai Abed, Benjamin Moulin, Clara Prud’homme, Marc Al Ahmar, Christophe Teriitehau, Antoine Hakime, Sophie Laurent, Thierry de Baere, Lambros Tselikas

Published in: CardioVascular and Interventional Radiology | Issue 1/2020

Abstract

Purpose

To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance.

Materials and Methods

This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected.

Results

Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8).

Conclusion

Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.

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Title: Percutaneous Fixation by Internal Cemented Screws of the Sternum
Authors: Benjamin Poussot
Frederic Deschamps
Florent Varin
Abdelhai Abed
Benjamin Moulin
Clara Prud’homme
Marc Al Ahmar
Christophe Teriitehau
Antoine Hakime
Sophie Laurent
Thierry de Baere
Lambros Tselikas
Publication date: 01-01-2020
Publisher: Springer US
Keyword: Analgesics in Dentistry
Published in: CardioVascular and Interventional Radiology / Issue 1/2020
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-019-02334-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous Fixation by Internal Cemented Screws of the Sternum

Abstract

Purpose

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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