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European Radiology
Published in: European Radiology 1/2017

01-01-2017 | Interventional

Comparison of percutaneous long bone cementoplasty with or without embedding a cement-filled catheter for painful long bone metastases with impending fracture

Authors: Xun-wei Liu, Peng Jin, Kai Liu, Hao Chen, Li Li, Min LI, Hai Tang, Gang Sun

Published in: European Radiology | Issue 1/2017

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Abstract

Objective

To compare the efficacy of percutaneous long bone cementoplasty (PLBC) with and without embedding a cement-filled catheter in the medullary canal (ECFC) for painful long bone metastases with impending fracture.

Methods

A retrospective study was conducted in 36 consecutive patients undergoing PLBC and ECFC combination (n = 17, group A) or PLBC alone (n = 19, group B). All patients had a high risk of impending fracture in the long bone based on Mirels’ scoring system. Clinical effects were evaluated using both a pre- and a postoperative visual analogue scale (VAS) and Karnofsky performance scale (KPS).

Results

Overall pain relief rate with excellent (VAS 0–2) and good (VAS 2.5–4.5) results during follow-up was significantly higher in group A than in group B (88.2 % vs. 57.9 %, P<0.05). The average VAS and KPS changes in group A were significantly higher than those in group B at 1, 3 and 6 months postoperatively (P<0.05). Also, the rate of fractures of the treated long bone in group A was significantly lower than that in group B (P<0.05).

Conclusions

Combined PLBC and ECFC is a safe and effective procedure for long bone metastases with impending fracture.

Key Points

• Metastases in long bones may cause pain and subsequent pathological fractures.
• Cementoplasty resulted in significant pain relief in patients with long bone metastases.
• Combination of PLBC and ECFC may reduce the incidence of fractures.
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Metadata
Title
Comparison of percutaneous long bone cementoplasty with or without embedding a cement-filled catheter for painful long bone metastases with impending fracture
Authors
Xun-wei Liu
Peng Jin
Kai Liu
Hao Chen
Li Li
Min LI
Hai Tang
Gang Sun
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 1/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-016-4347-x

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