Combined Cementoplasty and Percutaneous Image-Guided Screw Fixation for Treatment of Sacral Osteoradionecrosis: A Case Report
Received Date: Feb 26, 2018 / Accepted Date: Mar 22, 2018 / Published Date: Mar 26, 2018
Sacral osteoradionecrosis is a pelvic radiation-induced injury. The case illustrates this complication with interventional radiology support. Combination of imaging modalities aided in diagnosis and a biopsy confirmed it. An initial sacral cementoplasty procedure was not sufficient to obtain analgesia, because necrosis continued to evolve. In order to better stabilize the weakened pelvic girdle and reduce pain, percutaneous screw fixation was performed. The patient has a favorable outcome, with reduction of pain and early rehabilitation. No infectious, hemorrhagic complication nor migration of the screws were observed at 6 months’ follow-up. Percutaneous image-guided screwing is a minimally invasive technique allowing stabilization of weakened bone and may be proposed in combination with cementoplasty in patients with sacral osteoradionecrosis.
Keywords: Osteoradionecrosis; Percutaneous image-guided screw fixation; Cementoplasty; Radiotherapy; Sacrum
Citation: Galmiche C, Palussiere J, Catena V, Crombe A, Petit A, et al. (2018) Combined Cementoplasty and Percutaneous Image-Guided Screw Fixation for Treatment of Sacral Osteoradionecrosis: A Case Report. Oncol Cancer Case Rep 4: 142. Doi: 10.4172/2471-8556.1000142
Copyright: © 2018 Galmiche C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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