Percutaneous cementoplasty of the lytic metastasis in left acetabulum

Abstract

Minimally invasive procedures such as percutaneous cementoplasty can provide immediate pain relief as well as restore mechanical stability for patients with bone metastases who are not candidates for surgery and/or show resistance to radiotherapy or analgesic treatment. We examine a case of percutaneous cementoplasty to treat a lytic lesion of the acetabulum from breast cancer. Good filling was observed and there were no complications. A research assistant recorded Townsend Functional Assessment Scale (TFAS) and Brief Pain Inventory (BPI) scores prior to surgery and at days 1, 2, 4 and weeks 1, 2, and 4 post-procedure. Improvement in pain and walking ability was demonstrated within the first 48 hours of treatment and remained constant throughout follow-up. These findings echo the literature in that percutaneous cementoplasty provides immediate and long-term pain relief with few complications. It is recommended that percutaneous cementoplasty be used as an additional tool for palliative treatment of patients with bone metastases.

Percutaneous cementoplasty; bone metastases; cancer