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Percutaneous Fixation by Internal Cemented Screws of the Sternum

  • Clinical Investigation
  • Non-Vascular Interventions
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance.

Materials and Methods

This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected.

Results

Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8).

Conclusion

Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.

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Funding

No specific funding was obtained for this study.

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Authors and Affiliations

  1. Interventional Radiology Unit, Medical Imaging Department, Gustave Roussy – Cancer Center, 114 Rue Edouard Vaillant, 94805, Villejuif, France

    Benjamin Poussot, Frederic Deschamps, Abdelhai Abed, Benjamin Moulin, Clara Prud’homme, Marc Al Ahmar, Christophe Teriitehau, Antoine Hakime, Thierry de Baere & Lambros Tselikas

  2. Department of Anesthesiology, Gustave Roussy, Villejuif, France

    Florent Varin

  3. Pain Palliation Unit, DISSPO Department, Gustave Roussy, Villejuif, France

    Sophie Laurent

  4. Université de Médecine Paris Sud, Paris Saclay, Kremlin-Bicêtre, France

    Thierry de Baere

  5. Immunology Translational Research Laboratory (LRTI), Inserm U1015, Villejuif, France

    Lambros Tselikas

Authors
  1. Benjamin Poussot
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  2. Frederic Deschamps
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  3. Florent Varin
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  4. Abdelhai Abed
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  5. Benjamin Moulin
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  6. Clara Prud’homme
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  7. Marc Al Ahmar
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  8. Christophe Teriitehau
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  9. Antoine Hakime
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  10. Sophie Laurent
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  11. Thierry de Baere
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  12. Lambros Tselikas
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Corresponding author

Correspondence to Lambros Tselikas.

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Conflict of interest

During the past 5 years, TdB has received speaker honorarium from Terumo, Guerbet, BTG, GE and Canon medical; FD has received speaker honorarium from Hypervention, BTG and Guerbet; LT has received research grant from Terumo and speaker honorarium from BTG, Guerbet and GE. The other authors do not declare any conflict of interest.

Ethical Approval

For this type of study, formal consent is not required, even though this study was IRB approved. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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

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Poussot, B., Deschamps, F., Varin, F. et al. Percutaneous Fixation by Internal Cemented Screws of the Sternum. Cardiovasc Intervent Radiol 43, 103–109 (2020). https://doi.org/10.1007/s00270-019-02334-2

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  • DOI: https://doi.org/10.1007/s00270-019-02334-2

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