Advertisement

Continuous Injection of Large Volumes of Cement Through a Single 10G Vertebroplasty Needle in Cases of Large Osteolytic Lesions

  • Julien GarnonEmail author
  • Laurence Meylheuc
  • Pierre Auloge
  • Guillaume Koch
  • Danoob Dalili
  • Roberto Luigi Cazzato
  • Bernard Bayle
  • Afshin Gangi
Letter to the Editor
  • 2 Downloads

To the editor,

Since its first description in 1987, percutaneous cementoplasty has been successfully applied to treat both painful osteoporotic/malignant spinal compression fractures and painful extra-spinal bone metastases [1]. For spinal cases, the amount of cement required for clinical improvement and mechanical stabilisation usually does not exceed 10 ml [2]. For extra-spinal cases, there is usually a need for larger volumes of cement [3]. Even though the clinical outcome in terms of pain alleviation does not seem to be related to lesion filling, most of the authors advocate injecting as much cement as possible to provide optimal mechanical stabilisation. There is only scarce literature available on the technique to inject large volumes (> 10 ml) of cement [3]. A systematic review reported that such injection was usually achieved through the insertion of multiple needles inside the lesion [3]. We recently performed the injection of large volumes of cement through a single puncture...

Notes

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

For this type of study, formal consent is not required. Approval by institutional review board was waived.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Liu HF, Wu CG, Tian QH, Wang T, Yi F. Application of percutaneous osteoplasty in treating pelvic bone metastases: efficacy and safety. Cardiovasc Interv Radiol. 2019;42(12):1738–44.  https://doi.org/10.1007/s00270-019-02320-8.CrossRefGoogle Scholar
  2. 2.
    Luo J, Daines L, Charalambous A, Adams MA, Annesley-Williams DJ, Dolan P. Vertebroplasty: only small cement volumes are required to normalize stress distributions on the vertebral bodies. Spine (Phila Pa 1976). 2009;34(26):2865–73.  https://doi.org/10.1097/brs.0b013e3181b4ea1e.CrossRefGoogle Scholar
  3. 3.
    Garnon J, Meylheuc L, Cazzato RL, Dalili D, Koch G, Auloge P, Bayle B, Gangi A. Percutaneous extra-spinal cementoplasty in patients with cancer: a systematic review of procedural details and clinical outcomes. Diagn Interv Imaging. 2019.  https://doi.org/10.1016/j.diii.2019.07.005.CrossRefPubMedGoogle Scholar
  4. 4.
    Delpla A, Tselikas L, De Baere T, Laurent S, Mezaib K, Barat M, Nguimbous O, Prudhomme C, Al-Hamar M, Moulin B, Deschamps F. Preventive vertebroplasty for long-term consolidation of vertebral metastases. Cardiovasc Interv Radiol. 2019.  https://doi.org/10.1007/s00270-019-02314-6.CrossRefGoogle Scholar
  5. 5.
    Hesler MC, Buy X, Catena V, Brouste V, Kind M, Palussière J, Crombé A. Assessment of risk factors for occurrence or worsening of acetabular fracture following percutaneous cementoplasty of acetabulum malignancies. Eur J Radiol. 2019;29(120):108694.  https://doi.org/10.1016/j.ejrad.2019.108694.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  1. 1.Department of Interventional RadiologyNouvel Hôpital CivilStrasbourg CedexFrance
  2. 2.UMR 7357 CNRSICube - University of StrasbourgStrasbourgFrance
  3. 3.Department of Radiology, Kings College LondonNHS Foundation TrustLondonUK

Personalised recommendations