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3D-navigiert-assistierte VBS®-Cage-Defektaugmentation eines tumorosteolytisch destruierten Beckens

Three-dimensional fluoroscopy-based navigation with the VBS® cage for defect augmentation of the pelvis due to metastatic tumor treated

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Zusammenfassung

Die tumorosteolytische Destruktion des Sakrums, verursacht durch Metastasen, kann zu einer signifikanten Instabilität des hinteren Beckenrings führen. Die Folge sind Schmerzen, Immobilität und konsekutiv ein Verlust an Lebensqualität. Das Portfolio an operativen Möglichkeiten ist begrenzt. Vorgestellt wird eine neue 3D-navigiert-assistierte Technik der perkutanen Defektaugmentation des Beckenrings mit Hilfe eines expandierbaren und zementaugmentierten Cage als Stand-alone-Variante und in Kombination mit einer Osteosynthese.

Abstract

Destruction of the sacrum due to metastatic tumors may lead to a significant instability of the posterior pelvic ring. This often causes pain, immobility, and subsequently a loss of quality of life. The surgical treatment options are limited. A new technique is presented using a cement augmented expandable cage placed percutaneously using 3D fluoroscopy-based navigation with or without an additional osteosynthesis.

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Authors and Affiliations

  1. Unfallchirurgische Klinik, Klinikum Bielefeld, Teutoburger Straße 50, 33604, Bielefeld, Deutschland

    A. Rübberdt & W. Begemann

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  1. A. Rübberdt
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  2. W. Begemann
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Correspondence to A. Rübberdt.

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Rübberdt, A., Begemann, W. 3D-navigiert-assistierte VBS®-Cage-Defektaugmentation eines tumorosteolytisch destruierten Beckens. Unfallchirurg 116, 471–474 (2013). https://doi.org/10.1007/s00113-012-2214-z

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  • DOI: https://doi.org/10.1007/s00113-012-2214-z

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