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CT-Guided Percutaneous Vertebroplasty of the Cervico-Thoracic Junction for the Management of Pathologic Fracture or Symptomatic Lytic Lesion in Cancer Patients

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  • Non-Vascular Interventions
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Abstract

Objectives

The purpose of this retrospective observational study is to report author’s experience in computed-tomography (CT)-guided percutaneous vertebroplasty (PV) of the cervicothoracic junction.

Methods

The records of all consecutive patients treated by PV at levels C7, T1, T2, and T3 in a tertiary cancer center during year 2020 were extracted from the Institutional electronic archive. Following data were collected: demographics, indication for PV, procedure features, outcomes, and complications. Technical success was defined as when the trocar was placed into the vertebral body, allowing the injection of polymethyl-metacrylate (PMMA).

Results

Eleven patients were identified who received PV on 14 levels. Mean procedure duration was 57 ± 22 min (range [31–142]). A “trans-pedicular approach at the targeted level” was used in 1 vertebra (7%), a “costotransverse approach, at the targeted level” was used in 1 vertebra (7%), a “transpedicular approach via the level below” was used in 3 vertebrae (22%), and a “costotransverse approach via the level below” was used in 9 vertebrae (64%). Meantime to deploy each trocar was 20 ± 5 min (range [12–32]). Technical success was achieved in 14/14 (100%) of vertebrae. Mean postoperative hospitalization duration was 1.9 ± 1.7 days (range [1–11]). According to CIRSE classification, no adverse event occurred. PMMA leakage occurred in two patients; both remained asymptomatic.

Conclusion

This study provides arguments in favor of safety and efficiency of CT-guided vertebroplasty of levels C7, T1, T2, and T3, for both trocar deployment and monitoring of the vertebral body filling during the PMMA injection.

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Abbreviations

CT:

Computed-tomography

PV:

Percutaneous vertebroplasty

PMMA:

Polymethyl-metacrylate

SRE:

Skeletal relative event

MRI:

Magnetic resonance imaging

FDG-PET:

18F-fluorodeoxyglucose–positron emission tomography

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Acknowledgments

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Funding

This study was not supported by any funding.”

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Authors and Affiliations

  1. Interventional Radiology Unit, Imaging Department, Institut Curie, 26 rue d’Ulm, 75005, Paris, France

    Benjamin Moulin, Vincent Servois, Jonathan Dbjay, Jeremy Smadja & Herve Brisse

  2. Department of Surgery, Institut Curie, 26 rue d’Ulm, 75005, Paris, France

    Guillaume Dutertre

  3. Palliative Care Unit, Institut Curie, 26 rue d’Ulm, 75005, Paris, France

    Laura Thery, Carole Bouleuc, Timothee Marchal, Celine Laouisset & Alexis Burnod

Authors
  1. Benjamin Moulin
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  2. Vincent Servois
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  3. Jonathan Dbjay
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  4. Guillaume Dutertre
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  5. Laura Thery
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  6. Carole Bouleuc
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  7. Timothee Marchal
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  8. Celine Laouisset
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  9. Alexis Burnod
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Corresponding author

Correspondence to Benjamin Moulin.

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Conflict of interest

B.M. disclosed no relevant relationships. V.S. disclosed no relevant relationships. J.D. disclosed no relevant relationships. G.D. Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: disclosed payment for lectures including service on speakers bureaus from NEO Médical SA L.T. disclosed no relevant relationships. C.B. disclosed no relevant relationships. T.M. Activities related to the present article: disclosed no relevant relationships. C.L. disclosed no relevant relationships. A.B. disclosed no relevant relationships. J.S. disclosed no relevant relationships. H.B. disclosed no relevant relationships. “Author A has received research grants from Company A. Author B has received a speaker honorarium from Company X and owns stock in Company Y. Author C is a member of committee Z.”

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This study has obtained IRB approval from our institution (PSL Research University).

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

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Moulin, B., Servois, V., Dbjay, J. et al. CT-Guided Percutaneous Vertebroplasty of the Cervico-Thoracic Junction for the Management of Pathologic Fracture or Symptomatic Lytic Lesion in Cancer Patients. Cardiovasc Intervent Radiol 45, 244–248 (2022). https://doi.org/10.1007/s00270-021-03018-6

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  • DOI: https://doi.org/10.1007/s00270-021-03018-6

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