Percutaneous screw fixation and cementoplasty of metastatic sternal fracture: Descriptions of 2 cases

Secondary lesions and hemopathy localized in sternal bone may be responsible for persistent pain and resistant to classical analgesics. Surgical treatment is not applicable in these cases. We report on 2 cases of sternal osteosynthesis by internal cemented screw fixation, under fluoroscopy and CT sc...

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Bibliographic Details
Main Authors: Quentin Letty, MD, Rémi Grange, MD, Sylvain Bertholon, MD, Fabrice-Guy Barral, MDPhD, Christelle Brosse, MD, Stéphanie Morisson, MD, Nicolas Stacoffe, MD, Sylvain Grange, MD
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322002655
Description
Summary:Secondary lesions and hemopathy localized in sternal bone may be responsible for persistent pain and resistant to classical analgesics. Surgical treatment is not applicable in these cases. We report on 2 cases of sternal osteosynthesis by internal cemented screw fixation, under fluoroscopy and CT scan control, without complication and with clear, immediate reduction of pain. Cementoplasty alone does not appear to be the most appropriate approach for treating lytic sternal lesions which are subject to traction and distraction forces, and resistant to analgesics. Discussion of these 2 cases demonstrate that internal cemented screw fixation allows for rapid management of pain in lytic lesions of the sternum in cancer-related context and should be more widespread in the medical community.
ISSN:1930-0433