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Percutaneous Pelvic Cementoplasty With or Without Screw Fixation in Patients Aged 70 Years and Over: Safety and
Hella Tcheir1, Rémi Grange2, Ludovic Lafaie3
1Department of Rhumatology, University Hospital of Saint Etienne, Saint-Etienne, France.
Purpose:
To evaluate the safety and effectiveness of image-guided cementoplasty, with or without screw fixation, for treating pelvic bony lesions in patients aged 70 years and older.
Materials And Methods:
This single-center retrospective study included all image-guided cementoplasties, with or without screw fixation, performed between June 2018 and November 2022 for the management of pelvic osteoporotic fractures or neoplastic lesions in patients aged 70 years and older.
Results:
A total of 46 interventions were successfully performed, including 8 for osteoporotic fractures and 38 for neoplastic lesions. No major procedure-related adverse events were observed. Among the 36 cases assessed, 25 (69.4%) patients either switched to a lower analgesic level or reduced their analgesic consumption within 1 month postprocedurally. Specifically, 14 of 25 (56.0%) patients required less potent analgesic drugs, while 11 of 25 (44.0%) reduced their daily dose of the same analgesic drug. The proportion of patients able to stand increased from 21 of 44 (47.7%) to 41 of 44 (93.2%), while the proportion able to walk rose from 21 of 44 (47.7%) to 40 of 44 (90.9%).
Conclusions:
Percutaneous cementoplasty, with or without screw fixation, is a safe and effective technique for managing pelvic lesions in patients aged 70 years and older. It results in significant pain reduction and facilitates early mobilization, with most patients able to stand the day after the procedure.
