CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients
PURPOSE:We aimed to assess the safety and technical outcome of computed tomography (CT) fluoroscopy-guided osteoplasty with or without prior percutaneous radiofrequency ablation (RFA) in patients with painful osteolyses.METHODS:We performed a retrospective analysis of 29 patients with painful extras...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2018-05-01
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| Series: | Diagnostic and Interventional Radiology |
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http://www.dirjournal.org/archives/archive-detail/article-preview/ct-fluoroscopy-guided-percutaneous-osteoplasty-wit/55122
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| _version_ | 1797691224612667392 |
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| author | Caroline A. Burgard Julien Dinkel Frederik Strobl Philipp M. Paprottka Nicolai Schramm Maximilian Reiser Christoph G. Trumm |
| author_facet | Caroline A. Burgard Julien Dinkel Frederik Strobl Philipp M. Paprottka Nicolai Schramm Maximilian Reiser Christoph G. Trumm |
| author_sort | Caroline A. Burgard |
| collection | DOAJ |
| description | PURPOSE:We aimed to assess the safety and technical outcome of computed tomography (CT) fluoroscopy-guided osteoplasty with or without prior percutaneous radiofrequency ablation (RFA) in patients with painful osteolyses.METHODS:We performed a retrospective analysis of 29 patients with painful extraspinal and spinal osteo- lyses (16 women, 13 men; 63.1±14.4 years) who underwent CT fluoroscopy-guided osteoplasty (10-20 mAs tube current) with or without RFA (26 and 14 lesions, respectively), in 33 consecutive procedures from 2002 to 2016. Technical success was defined as at least one complete RFA cycle and subsequent polymethyl metacrylate (PMMA) bone cement injection covering ≥75% of longest diameter of extraspinal osteolysis on axial plane or of distance between vertebral endplates. Procedure-related complications within 30 days and dose-length-product (DLP) were also evaluated.RESULTS:Osteolyses were located in the pelvis (acetabulum, n=10; iliac bone, n=4), spine (thoracic, n=6; lumbar, n=5; sacral, n=8), long bones (femur, n=3; tibia, n=1), sternum (n=2) and glenoid (n=1). Mean size of the treated osteolysis was 4.0±1.2 cm (range, 1.9–6.9 cm). Of 40 osteolyses, 31 (77.5%) abutted neighboring risk structures (spinal canal or neuroforamen, n=18; neighboring joint, n=11; other, n=8). Mean number of RFA electrode positions and complete ablation cycles was 1.5±0.9 and 2.1±1.7, respectively. Mean PMMA filling volume was 7.7±5.7 mL (range, 2–30 mL). Small asymptomatic PMMA leakages were observed in 15 lesions (37.5%). Mean total DLP was 850±653 mGy*cm. Six minor complications were observed, without any major complications.CONCLUSION:CT fluoroscopy-guided percutaneous osteoplasty with or without concomitant RFA for the treatment of painful extraspinal and spinal osteolyses can be performed with a low complication rate and high technical success. |
| first_indexed | 2024-03-12T02:11:21Z |
| format | Article |
| id | doaj.art-994a4de05d0a487a8b862ae1eed3a2bf |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:11:21Z |
| publishDate | 2018-05-01 |
| publisher | Galenos Publishing House |
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| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-994a4de05d0a487a8b862ae1eed3a2bf2023-09-06T13:19:11ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122018-05-0124315816510.5152/dir.2018.1726513049054CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patientsCaroline A. Burgard0Julien Dinkel1Frederik Strobl2Philipp M. Paprottka3Nicolai Schramm4Maximilian Reiser5Christoph G. Trumm6 Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. Institute for Clinical Radiology, University Hospitals Munich – Campus Großhadern, München, Germany. PURPOSE:We aimed to assess the safety and technical outcome of computed tomography (CT) fluoroscopy-guided osteoplasty with or without prior percutaneous radiofrequency ablation (RFA) in patients with painful osteolyses.METHODS:We performed a retrospective analysis of 29 patients with painful extraspinal and spinal osteo- lyses (16 women, 13 men; 63.1±14.4 years) who underwent CT fluoroscopy-guided osteoplasty (10-20 mAs tube current) with or without RFA (26 and 14 lesions, respectively), in 33 consecutive procedures from 2002 to 2016. Technical success was defined as at least one complete RFA cycle and subsequent polymethyl metacrylate (PMMA) bone cement injection covering ≥75% of longest diameter of extraspinal osteolysis on axial plane or of distance between vertebral endplates. Procedure-related complications within 30 days and dose-length-product (DLP) were also evaluated.RESULTS:Osteolyses were located in the pelvis (acetabulum, n=10; iliac bone, n=4), spine (thoracic, n=6; lumbar, n=5; sacral, n=8), long bones (femur, n=3; tibia, n=1), sternum (n=2) and glenoid (n=1). Mean size of the treated osteolysis was 4.0±1.2 cm (range, 1.9–6.9 cm). Of 40 osteolyses, 31 (77.5%) abutted neighboring risk structures (spinal canal or neuroforamen, n=18; neighboring joint, n=11; other, n=8). Mean number of RFA electrode positions and complete ablation cycles was 1.5±0.9 and 2.1±1.7, respectively. Mean PMMA filling volume was 7.7±5.7 mL (range, 2–30 mL). Small asymptomatic PMMA leakages were observed in 15 lesions (37.5%). Mean total DLP was 850±653 mGy*cm. Six minor complications were observed, without any major complications.CONCLUSION:CT fluoroscopy-guided percutaneous osteoplasty with or without concomitant RFA for the treatment of painful extraspinal and spinal osteolyses can be performed with a low complication rate and high technical success. http://www.dirjournal.org/archives/archive-detail/article-preview/ct-fluoroscopy-guided-percutaneous-osteoplasty-wit/55122 |
| spellingShingle | Caroline A. Burgard Julien Dinkel Frederik Strobl Philipp M. Paprottka Nicolai Schramm Maximilian Reiser Christoph G. Trumm CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients Diagnostic and Interventional Radiology |
| title | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients |
| title_full | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients |
| title_fullStr | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients |
| title_full_unstemmed | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients |
| title_short | CT fluoroscopy-guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases: technical outcome and complications in 29 patients |
| title_sort | ct fluoroscopy guided percutaneous osteoplasty with or without radiofrequency ablation in the treatment of painful extraspinal and spinal bone metastases technical outcome and complications in 29 patients |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/ct-fluoroscopy-guided-percutaneous-osteoplasty-wit/55122
|
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