Cazzato Roberto Luigi, Garnon Julien, Shaygi Benham, Boatta Emanuele, Koch Guillaume, Palussiere Jean, Buy Xavier, Gangi Afshin
Department of Interventional Radiology, Nouvel Hôpital Civil (Hôpitaux Universitaires de Strasbourg), 1 Place de l'Hôpital, 67000, Strasbourg, France.
Department of Interventional Radiology, Royal Devon and Exeter Hospital NHS Trust, Barrack Rd, Exeter, EX2 5DW, UK.
Insights Imaging. 2019 Feb 6;10(1):14. doi: 10.1186/s13244-019-0709-7.
Patients with cancer can present with bone metastases (BM), which are frequently complicated by different types of fractures necessitating prompt management to avoid serious impairment in terms of quality of life and survival.Percutaneous image-guided bone consolidation has rapidly emerged as an alternative to surgical fixation and is mainly reserved for patients who are deemed unfit for surgical management. Two percutaneous techniques, osteoplasty and osteosynthesis, are available and are selected based on the biomechanics of the target bones as well as the fracture types.The aim of this narrative review is to present the different types of BM-related fractures and the interventional strategies and techniques underpinning their minimally invasive percutaneous fixation.
癌症患者可能会出现骨转移（BM），常并发不同类型的骨折，需要及时处理，以避免生活质量和生存期受到严重损害。经皮影像引导下的骨巩固术已迅速成为手术固定的替代方法，主要适用于被认为不适合手术治疗的患者。有两种经皮技术，即骨成形术和骨内固定术，可根据目标骨的生物力学以及骨折类型进行选择。本叙述性综述的目的是介绍不同类型的与骨转移相关的骨折以及支持其微创经皮固定的介入策略和技术。
