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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. 2021;doi: 10.1007/s00270-021-03018-6.
Moulin, B., Servois, V., Dbjay, J., Dutertre, G., Thery, L., Bouleuc, C., Marchal, T., Laouisset, C., Burnod, A., Smadja, J., & Brisse, H. (2021). CT-Guided Percutaneous Vertebroplasty of the Cervico-Thoracic Junction for the Management of Pathologic Fracture or Symptomatic Lytic Lesion in Cancer Patients. Cardiovascular and interventional radiology, . https://doi.org/10.1007/s00270-021-03018-6
Moulin, Benjamin, et al. "CT-Guided Percutaneous Vertebroplasty of the Cervico-Thoracic Junction for the Management of Pathologic Fracture or Symptomatic Lytic Lesion in Cancer Patients." Cardiovascular and interventional radiology vol. (2021). doi: https://doi.org/10.1007/s00270-021-03018-6
Moulin B, Servois V, Dbjay J, Dutertre G, Thery L, Bouleuc C, Marchal T, Laouisset C, Burnod A, Smadja J, Brisse H. 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. 2021 Dec 01; doi: 10.1007/s00270-021-03018-6. Epub 2021 Dec 01. PMID: 34853875.
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Cardiovasc Intervent Radiol. 2021 Dec 01; doi: 10.1007/s00270-021-03018-6. Epub 2021 Dec 01.

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

Cardiovascular and interventional radiology

Benjamin Moulin, Vincent Servois, Jonathan Dbjay, Guillaume Dutertre, Laura Thery, Carole Bouleuc, Timothee Marchal, Celine Laouisset, Alexis Burnod, Jeremy Smadja, Herve Brisse

Affiliations

  1. Interventional Radiology Unit, Imaging Department, Institut Curie, 26 rue d'Ulm, 75005, Paris, France. [email protected].
  2. Interventional Radiology Unit, Imaging Department, Institut Curie, 26 rue d'Ulm, 75005, Paris, France.
  3. Department of Surgery, Institut Curie, 26 rue d'Ulm, 75005, Paris, France.
  4. Palliative Care Unit, Institut Curie, 26 rue d'Ulm, 75005, Paris, France.

PMID: 34853875 DOI: 10.1007/s00270-021-03018-6

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.

© 2021. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Keywords: Cementoplasty; Fractures; Interventional radiology; Pain management; Spinal neoplasms

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