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Percutaneous Augmented Peripheral Osteoplasty in Long Bones of Oncologic Patients for Pain Reduction and Prevention of Impeding Pathologic Fracture: The Rebar Concept

  • Clinical Investigation
  • Published:
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Abstract

Purpose

To evaluate clinical efficacy/safety of augmented peripheral osteoplasty in oncologic patients with long-term follow-up.

Materials and Methods

Percutaneous augmented peripheral osteoplasty was performed in 12 patients suffering from symptomatic lesions of long bones. Under extensive local sterility measures, anesthesiology care, and fluoroscopic guidance, direct access to lesion was obtained and coaxially a metallic mesh consisting of 25–50 medical grade stainless steel micro-needles (22 G, 2–6 cm length) was inserted. PMMA for vertebroplasty was finally injected under fluoroscopic control. CT assessed implant position 24-h post-treatment.

Results

Clinical evaluation included immediate and delayed follow-up studies of patient’s general condition, NVS pain score, and neurological status. Imaging assessed implant’s long-term stability. Mean follow-up was 16.17 ± 10.93 months (range 2–36 months). Comparing patients’ scores prior (8.33 ± 1.67 NVS units) and post (1.42 ± 1.62 NVS units) augmented peripheral osteoplasty, there was a mean decrease of 6.92 ± 1.51 NVS units. Overall mobility improved in 12/12 patients. No complication was observed.

Conclusion

Percutaneous augmented peripheral osteoplasty (rebar concept) for symptomatic malignant lesions in long bones seems to be a possible new technique for bone stabilization. This combination seems to provide necessary stability against shearing forces applied in long bones during weight bearing.

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Conflict of interest

Authors have no conflict of interest to declare. No industry support was received for this study.

Ethical approval

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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Authors and Affiliations

  1. 2nd Radiology Department, University General Hospital “ATTIKON”, 1 Rimini Str, 12462, Athens, Greece

    A. Kelekis, D. Filippiadis, E. Brountzos & N. Kelekis

  2. GVM Care and Research Maria Pia Hospital, Strada Comunale di Mongreno 180, 10132, Turin, Italy

    G. Anselmetti

  3. A Orthopedic Clinic, University General Hospital “ATTIKON”, Athens, Greece

    A. Mavrogenis & P. Papagelopoulos

  4. Centre Imaginerie Rive Droite & Gauche, Geneva, Switzerland

    J.-B. Martin

Authors
  1. A. Kelekis
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  2. D. Filippiadis
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  3. G. Anselmetti
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  4. E. Brountzos
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  5. A. Mavrogenis
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  6. P. Papagelopoulos
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  7. N. Kelekis
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  8. J.-B. Martin
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Corresponding author

Correspondence to D. Filippiadis.

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Kelekis, A., Filippiadis, D., Anselmetti, G. et al. Percutaneous Augmented Peripheral Osteoplasty in Long Bones of Oncologic Patients for Pain Reduction and Prevention of Impeding Pathologic Fracture: The Rebar Concept. Cardiovasc Intervent Radiol 39, 90–96 (2016). https://doi.org/10.1007/s00270-015-1138-8

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  • DOI: https://doi.org/10.1007/s00270-015-1138-8

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