Cementoplasty of the left iliac bone

Authors

  • Pedro Pablo Benítez Borroto
  • Yaideline Camejo González
  • Jorge Luis González Cedeño
  • Yaismary Cabrera Bosque

Keywords:

cementoplasty, metastases, pain

Abstract

Introduction: Cementoplasty techniques, alone or in combination with radiofrequency ablation, are useful in patients with pain caused by extraspinal bone metastases.

Objective: To present a case in which the cementoplasty technique was used for the relief of pain caused by metastasis in the left iliac bone.

Clinical case: A 26-year-old male patient underwent surgery for left humerus sarcoma, with severe pain caused by metastasis in the left iliac bone. 12 ml of polymethylmethacrylate was applied inside the lesion guided by computed axial tomography. The visual analog scale before treatment was 9/10 and after treatment it was 0/10. The patient's clinical improvement was achieved, the pain disappeared two hours after completing the procedure, without complications.

Conclusions: The cementoplasty technique is a useful alternative for the treatment of pain in patients with sacroiliac bone metastases.

References

Siegel RL, Giaquinto AN, Jemal A. Cancer statistics. CA Cancer J Clin. 2024; 74 (1):12-49. DOI: https://doi.org/10.3322/caac.21820

Mariotto AB, Feuer EJ, Howlader N, Chen HS, Negoita S, Cronin KA. Interpreting cancer incidence trends: challenges due to the COVID‐19 pandemic. J Natl Cancer Inst. 2023; 115 (9): 1109‐1111. DOI: https://doi.org/10.1093/jnci/djad086

Negoita S, Chen HS, Sanchez PV, Sherman RL, Henley SJ, Siegel RL, et al. Annual Report to the Nation on the Status of Cancer, part 2: early assessment of the COVID‐19 pandemic's impact on cancer diagnosis. Cancer. 2023; 130(1):117-127. DOI: https://doi.org/10.1002/cncr.35026

Devasia TP, Mariotto AB, Nyame YA, Etzioni R. Estimating the number of men living with metastatic prostate cancer in the United States. Cancer Epidemiol Biomarkers Prev. 2023; 32 (5): 659‐665. DOI: https://doi.org/10.1158/1055‐9965.epi‐22‐1038

Jiang W, Rixiati Y, Zhao B, Li Y, Tang C, Liu J. Incidence, prevalence, and outcomes of systemic malignancy with bone metastases. J Orthop Surg (Hong Kong). 2020; 28 (2):2309499020915989. DOI: https://doi.org/10.1177/2309499020915989

Ahmed S, Prakash A, Kumar Upadhyay A. Evaluation of Different Regimens of Palliative Radiation Therapy for Symptomatic Bone Metastases: An Audit from a Tertiary Care Hospital in Jharkhand, India. Cureus. 2024; 16(2): e53622. DOI: https://doi.org/10.7759/cureus.53622

Coleman R, Hadji P, Body JJ, Santini D, Chow E, Terpos E, et.al. Bone health in cancer: ESMO Clinical Practice Guidelines. European Society for Medical Oncology. 2020; 31 (12): 1650-1663. DOI: https://doi.org/10.1016/j.annonc.2020.07.019

Kim JH, Shin JY, Lee SY. Treatment of Pelvic and Spinal Bone Metastases: Radiotherapy and Hyperthermia Alone vs. in Combination. Cancers. 2024; 16 (8): 1604. DOI: https://doi.org/10.3390/cancers16081604

Knapp BJ, Devarakonda S, Govindan R. Bone metastases in non-small cell lung cancer: a narrative review. J Thorac Dis 2022;14(5):1696-1712. DOI: 10.21037/jtd-21-1502

Cirstoiu C, Cretu B, Iordache S, Popa M, Serban B, Cursaru A. Surgical management options for long-bone metastasis. EFORT Open Rev. 2022; 7 (3): 206–213. DOI: https://doi.org/10.1530/EOR-21-0119

Gupta AK, Phukan P, Bodhey N. Percutaneous vertebroplasty for the treatment of symptomatic vertebral hemangioma with long-term follow-up. Interdisciplinary Neurosurgery. 2021: 23: 100968. DOI: https://doi.org/10.1016/j.inat.2020.100968

Cerny J, Soukup J, Petrosian K, Loukotova L, Novotny T. Efficacy and Complication Rates of Percutaneous Vertebroplasty and Kyphoplasty in the Treatment of Vertebral Compression Fractures: A Retrospective Analysis of 280 Patients. J Clin Med. 2024; 13 (5): 1495. DOI: https://doi.org/10.3390/jcm13051495

Kim WS, Kim KH. Percutaneous osteoplasty for painful bone lesions: a technical survey. Korean J Pain. 2021;34(4):375-393. DOI: https://doi.org/10.3344/kjp.2021.34.4.375

Sarkar A, Chakrabarti B, Manna A, Mitra D. A prospective study of changes in bone health in adult cancer patients treated with pelvic radiotherapy. Reports of Practical Oncology and Radiotherapy. 2024; 29 (1): 55–61. DOI: https://doi.org/10.5603/rpor.99099

Park JW, Lim HJ, Kang HG, Kim JH, Kim HS. Percutaneous Cementoplasty for the Pelvis in Bone Metastasis: 12-Year Experience. Ann Surg Oncol. 2022; 29 (2):1413-1422. DOI: https://doi.org/10.1245/s10434-021-10640-8

Chen AL, Sagoo NS, Vannabouathong C, Reddy Y, Deme S, Patibandla S, et al. Combination radiofrequency ablation and vertebral cement augmentation for spinal metastatic tumors: A systematic review and meta-analysis of safety and treatment outcomes. North American Spine Society Journal. 2024; 17: 100317. DOI: https://doi.org/10.1016/j.xnsj.2024.100317

Gong Y, Zhang B, Yan L. A Preliminary Review of Modified Polymethyl Methacrylate and Calcium-Based Bone Cement for Improving Properties in Osteoporotic Vertebral Compression Fractures. Front Mater. 2022; 9:912713. DOI: https://doi.org/10.3389/fmats.2022.912713

Hirsch JA, Zini C, Anselmetti GC, Ardura F, Beall D, Bellini M, et al. Vertebral Augmentation: Is It Time to Get Past the Pain? A Consensus Statement from the Sardinia Spine and Stroke Congress. Medicina. 2022; 58: 1431. DOI: https://doi.org/10.3390/medicina58101431

Faiella E, Pacella G, Altomare C, Bernetti C, Sarli M, Cea, L. Percutaneous Vertebroplasty: A Minimally Invasive Procedure for the Management of Vertebral Compression Fractures. Osteology. 2022; 2 (4): 139–151. DOI: https://doi.org/10.3390/osteology2040017

Downloads

Published

2025-01-07

How to Cite

1.
Benítez Borroto PP, Camejo González Y, González Cedeño JL, Cabrera Bosque Y. Cementoplasty of the left iliac bone. Invest Medicoquir [Internet]. 2025 Jan. 7 [cited 2025 Dec. 18];17(1):e920. Available from: https://revcimeq.sld.cu/index.php/imq/article/view/920

Issue

Vol. 17 No. 1 (2025): in progress

Section

Case presentation

License

Copyright (c) 2025 Pedro Pablo Benítez Borroto, Yaideline Camejo González, Jorge Luis González Cedeño, Yaismary Cabrera Bosque

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

The authors retain copyright and all unrestricted publication rights.

Medicoquirúrgicas Research is licensed under the Creative Commons Attribution-Noncommercial 4.0 International License (CC BY-NC 4.0) and follows the SciELO Publishing Schema (SciELO PS) for publishing in XML format.

You are free to:

  • Share — copy and redistribute the material in any medium or format.
  • Adapt — remix, transform, and build upon the material.

The license cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do this in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

Non-Commercial — You may not use the material for commercial purposes.
No Additional Restrictions — You may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.

Notices:

You do not have to comply with the license for elements of the material in the public domain or where their use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all the permissions you need for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.