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Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice?
Purpose To report the rate of fragmentation of the cement plug following percutaneous cementoplasty with polymethylmethacrylate (PMMA) in the bony pelvis (i.e., pelvic bones or sacrum). Materials and Methods Post-interventional and follow-up CT scans of 56 patients (36 men; mean age of 68.4 ± 15.4)...
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| Published in: | Cardiovascular and interventional radiology 2021-03, Vol.44 (3), p.421-427 |
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| container_title | Cardiovascular and interventional radiology |
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| creator | Garnon, Julien Meylheuc, Laurence De Marini, Pierre Koch, Guillaume Cazzato, Roberto Luigi Bayle, Bernard Gangi, Afshin |
| description | Purpose
To report the rate of fragmentation of the cement plug following percutaneous cementoplasty with polymethylmethacrylate (PMMA) in the bony pelvis (i.e., pelvic bones or sacrum).
Materials and Methods
Post-interventional and follow-up CT scans of 56 patients (36 men; mean age of 68.4 ± 15.4) with a total of 98 percutaneous cementoplasty procedures were analyzed. Indications for treatment included painful malignant tumors (42.9%; 42/98) and insufficiency fractures (57,1%; 56/98). Fragmentation of PMMA was recorded for each cement plug.
Results
Mean interval between the procedure and the last available CT scan was 29.3 ± 18.8 months. There was no significant difference between the length of follow-up of malignant lesions (27.6 ± 15.1 months) and insufficiency fractures (29 ± 20.5 months) (
p
= 0.69). Fragmentation was diagnosed following 2/98 (2%) procedures, both in the malignant lesions group. The time intervals between the procedure and the first visualization of cement fragmentation were 6 for the first and 24 months for the second patient.
Conclusion
Fragmentation of the PMMA plug following percutaneous cementoplasty in the bony pelvis is a rare finding at midterm follow-up. It was only observed in cementoplasty performed in malignant lesions and seems to be more a consequence of local mechanical stresses than as a result of porosity. |
| doi_str_mv | 10.1007/s00270-020-02715-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03254578v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2486622654</sourcerecordid><originalsourceid>FETCH-LOGICAL-c404t-6d2c60f11354e452efedd24afdf39cfea545ea378f202b0bf2a9bcb9a11fd4af3</originalsourceid><addsrcrecordid>eNp9kUGP1CAYhonRuOPqH_BgSLzoofpBoe14MevEcTeZxDlo4o1QCrNsGBiBrunRfy6165p48EAI8HwPfLwIPSfwhgC0bxMAbaECOo-W8Gp6gFaE1bSCrvn2EK2AtKwinJMz9CSlGwDCO8ofo7O6poywlqzQz40-ap_x3o0HvI3yMK9ktsHjbXAu_LD-gPc6qjFLr8OY8FIQTk6mPOFgcL7W-EPwU8HcrU3v8FXCNmNZdPr7OMu31g-zx3q8cdZbJR3eR6myVfr9U_TISJf0s7v5HH3dfvyyuax2nz9dbS52lWLActUMVDVgCKk504xTbfQwUCbNYOq1MlpyxrWs285QoD30hsp1r_q1JMQMBavP0evFey2dOEV7lHESQVpxebET8x7UtDja7pYU9tXCnmIoLaQsjjYp7dzyB4KyhjXAYd0W9OU_6E0Yoy-dFKprGkobzgpFF0rFkFLU5v4FBMQcpljCFCVM8TtMMZWiF3fqsT_q4b7kT3oFqBcglSN_0PHv3f_R_gLU8atN</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2486622654</pqid></control><display><type>article</type><title>Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice?</title><source>Springer Link</source><creator>Garnon, Julien ; Meylheuc, Laurence ; De Marini, Pierre ; Koch, Guillaume ; Cazzato, Roberto Luigi ; Bayle, Bernard ; Gangi, Afshin</creator><creatorcontrib>Garnon, Julien ; Meylheuc, Laurence ; De Marini, Pierre ; Koch, Guillaume ; Cazzato, Roberto Luigi ; Bayle, Bernard ; Gangi, Afshin</creatorcontrib><description>Purpose
To report the rate of fragmentation of the cement plug following percutaneous cementoplasty with polymethylmethacrylate (PMMA) in the bony pelvis (i.e., pelvic bones or sacrum).
Materials and Methods
Post-interventional and follow-up CT scans of 56 patients (36 men; mean age of 68.4 ± 15.4) with a total of 98 percutaneous cementoplasty procedures were analyzed. Indications for treatment included painful malignant tumors (42.9%; 42/98) and insufficiency fractures (57,1%; 56/98). Fragmentation of PMMA was recorded for each cement plug.
Results
Mean interval between the procedure and the last available CT scan was 29.3 ± 18.8 months. There was no significant difference between the length of follow-up of malignant lesions (27.6 ± 15.1 months) and insufficiency fractures (29 ± 20.5 months) (
p
= 0.69). Fragmentation was diagnosed following 2/98 (2%) procedures, both in the malignant lesions group. The time intervals between the procedure and the first visualization of cement fragmentation were 6 for the first and 24 months for the second patient.
Conclusion
Fragmentation of the PMMA plug following percutaneous cementoplasty in the bony pelvis is a rare finding at midterm follow-up. It was only observed in cementoplasty performed in malignant lesions and seems to be more a consequence of local mechanical stresses than as a result of porosity.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-020-02715-y</identifier><identifier>PMID: 33241471</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Automatic ; Cardiology ; Cement ; Clinical Investigation ; Computed tomography ; Engineering Sciences ; Fractures ; Fragmentation ; Imaging ; Lesions ; Medicine ; Medicine & Public Health ; Non-Vascular Interventions ; Nuclear Medicine ; Patients ; Pelvis ; Polymethylmethacrylate ; Porosity ; Radiology ; Sacrum ; Tumors ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2021-03, Vol.44 (3), p.421-427</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2020.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c404t-6d2c60f11354e452efedd24afdf39cfea545ea378f202b0bf2a9bcb9a11fd4af3</cites><orcidid>0000-0003-1445-7346 ; 0000-0001-5386-8127 ; 0000-0003-4728-8593</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33241471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03254578$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Garnon, Julien</creatorcontrib><creatorcontrib>Meylheuc, Laurence</creatorcontrib><creatorcontrib>De Marini, Pierre</creatorcontrib><creatorcontrib>Koch, Guillaume</creatorcontrib><creatorcontrib>Cazzato, Roberto Luigi</creatorcontrib><creatorcontrib>Bayle, Bernard</creatorcontrib><creatorcontrib>Gangi, Afshin</creatorcontrib><title>Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice?</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To report the rate of fragmentation of the cement plug following percutaneous cementoplasty with polymethylmethacrylate (PMMA) in the bony pelvis (i.e., pelvic bones or sacrum).
Materials and Methods
Post-interventional and follow-up CT scans of 56 patients (36 men; mean age of 68.4 ± 15.4) with a total of 98 percutaneous cementoplasty procedures were analyzed. Indications for treatment included painful malignant tumors (42.9%; 42/98) and insufficiency fractures (57,1%; 56/98). Fragmentation of PMMA was recorded for each cement plug.
Results
Mean interval between the procedure and the last available CT scan was 29.3 ± 18.8 months. There was no significant difference between the length of follow-up of malignant lesions (27.6 ± 15.1 months) and insufficiency fractures (29 ± 20.5 months) (
p
= 0.69). Fragmentation was diagnosed following 2/98 (2%) procedures, both in the malignant lesions group. The time intervals between the procedure and the first visualization of cement fragmentation were 6 for the first and 24 months for the second patient.
Conclusion
Fragmentation of the PMMA plug following percutaneous cementoplasty in the bony pelvis is a rare finding at midterm follow-up. It was only observed in cementoplasty performed in malignant lesions and seems to be more a consequence of local mechanical stresses than as a result of porosity.</description><subject>Automatic</subject><subject>Cardiology</subject><subject>Cement</subject><subject>Clinical Investigation</subject><subject>Computed tomography</subject><subject>Engineering Sciences</subject><subject>Fractures</subject><subject>Fragmentation</subject><subject>Imaging</subject><subject>Lesions</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Non-Vascular Interventions</subject><subject>Nuclear Medicine</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Polymethylmethacrylate</subject><subject>Porosity</subject><subject>Radiology</subject><subject>Sacrum</subject><subject>Tumors</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUGP1CAYhonRuOPqH_BgSLzoofpBoe14MevEcTeZxDlo4o1QCrNsGBiBrunRfy6165p48EAI8HwPfLwIPSfwhgC0bxMAbaECOo-W8Gp6gFaE1bSCrvn2EK2AtKwinJMz9CSlGwDCO8ofo7O6poywlqzQz40-ap_x3o0HvI3yMK9ktsHjbXAu_LD-gPc6qjFLr8OY8FIQTk6mPOFgcL7W-EPwU8HcrU3v8FXCNmNZdPr7OMu31g-zx3q8cdZbJR3eR6myVfr9U_TISJf0s7v5HH3dfvyyuax2nz9dbS52lWLActUMVDVgCKk504xTbfQwUCbNYOq1MlpyxrWs285QoD30hsp1r_q1JMQMBavP0evFey2dOEV7lHESQVpxebET8x7UtDja7pYU9tXCnmIoLaQsjjYp7dzyB4KyhjXAYd0W9OU_6E0Yoy-dFKprGkobzgpFF0rFkFLU5v4FBMQcpljCFCVM8TtMMZWiF3fqsT_q4b7kT3oFqBcglSN_0PHv3f_R_gLU8atN</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Garnon, Julien</creator><creator>Meylheuc, Laurence</creator><creator>De Marini, Pierre</creator><creator>Koch, Guillaume</creator><creator>Cazzato, Roberto Luigi</creator><creator>Bayle, Bernard</creator><creator>Gangi, Afshin</creator><general>Springer US</general><general>Springer Nature B.V</general><general>Cardiovascular and Interventional Radiological Society of Europe (CIRSE)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-1445-7346</orcidid><orcidid>https://orcid.org/0000-0001-5386-8127</orcidid><orcidid>https://orcid.org/0000-0003-4728-8593</orcidid></search><sort><creationdate>20210301</creationdate><title>Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice?</title><author>Garnon, Julien ; Meylheuc, Laurence ; De Marini, Pierre ; Koch, Guillaume ; Cazzato, Roberto Luigi ; Bayle, Bernard ; Gangi, Afshin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-6d2c60f11354e452efedd24afdf39cfea545ea378f202b0bf2a9bcb9a11fd4af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Automatic</topic><topic>Cardiology</topic><topic>Cement</topic><topic>Clinical Investigation</topic><topic>Computed tomography</topic><topic>Engineering Sciences</topic><topic>Fractures</topic><topic>Fragmentation</topic><topic>Imaging</topic><topic>Lesions</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Non-Vascular Interventions</topic><topic>Nuclear Medicine</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Polymethylmethacrylate</topic><topic>Porosity</topic><topic>Radiology</topic><topic>Sacrum</topic><topic>Tumors</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garnon, Julien</creatorcontrib><creatorcontrib>Meylheuc, Laurence</creatorcontrib><creatorcontrib>De Marini, Pierre</creatorcontrib><creatorcontrib>Koch, Guillaume</creatorcontrib><creatorcontrib>Cazzato, Roberto Luigi</creatorcontrib><creatorcontrib>Bayle, Bernard</creatorcontrib><creatorcontrib>Gangi, Afshin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garnon, Julien</au><au>Meylheuc, Laurence</au><au>De Marini, Pierre</au><au>Koch, Guillaume</au><au>Cazzato, Roberto Luigi</au><au>Bayle, Bernard</au><au>Gangi, Afshin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice?</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>44</volume><issue>3</issue><spage>421</spage><epage>427</epage><pages>421-427</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To report the rate of fragmentation of the cement plug following percutaneous cementoplasty with polymethylmethacrylate (PMMA) in the bony pelvis (i.e., pelvic bones or sacrum).
Materials and Methods
Post-interventional and follow-up CT scans of 56 patients (36 men; mean age of 68.4 ± 15.4) with a total of 98 percutaneous cementoplasty procedures were analyzed. Indications for treatment included painful malignant tumors (42.9%; 42/98) and insufficiency fractures (57,1%; 56/98). Fragmentation of PMMA was recorded for each cement plug.
Results
Mean interval between the procedure and the last available CT scan was 29.3 ± 18.8 months. There was no significant difference between the length of follow-up of malignant lesions (27.6 ± 15.1 months) and insufficiency fractures (29 ± 20.5 months) (
p
= 0.69). Fragmentation was diagnosed following 2/98 (2%) procedures, both in the malignant lesions group. The time intervals between the procedure and the first visualization of cement fragmentation were 6 for the first and 24 months for the second patient.
Conclusion
Fragmentation of the PMMA plug following percutaneous cementoplasty in the bony pelvis is a rare finding at midterm follow-up. It was only observed in cementoplasty performed in malignant lesions and seems to be more a consequence of local mechanical stresses than as a result of porosity.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33241471</pmid><doi>10.1007/s00270-020-02715-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1445-7346</orcidid><orcidid>https://orcid.org/0000-0001-5386-8127</orcidid><orcidid>https://orcid.org/0000-0003-4728-8593</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2021-03, Vol.44 (3), p.421-427 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03254578v1 |
| source | Springer Link |
| subjects | Automatic Cardiology Cement Clinical Investigation Computed tomography Engineering Sciences Fractures Fragmentation Imaging Lesions Medicine Medicine & Public Health Non-Vascular Interventions Nuclear Medicine Patients Pelvis Polymethylmethacrylate Porosity Radiology Sacrum Tumors Ultrasound |
| title | Cement Plug Fragmentation Following Percutaneous Cementoplasty of the Bony Pelvis: Is it a Frequent Finding in Clinical Practice? |
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