Percutaneous Fixation by Internal Cemented Screws of the Sternum

Benjamin Poussot; Frederic Deschamps; Florent Varin; Abdelhai Abed; Benjamin Moulin; Clara Prud’homme; Marc Al Ahmar; Christophe Teriitehau; Antoine Hakime; Sophie Laurent; Thierry de Baere; Lambros Tselikas

doi:10.1007/s00270-019-02334-2

Percutaneous Fixation by Internal Cemented Screws of the Sternum

Benjamin Poussot, Frederic Deschamps, Florent Varin, Abdelhai Abed, Benjamin Moulin, Clara Prud’homme, Marc Al Ahmar, Christophe Teriitehau, Antoine Hakime, Sophie Laurent, Thierry de Baere, Lambros Tselikas

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Résumé

Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance. Materials and Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected. Results: Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8). Conclusion: Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.

langue originale	Anglais
Pages (de - à)	103-109
Nombre de pages	7
journal	CardioVascular and Interventional Radiology
Volume	43
Numéro de publication	1
Les DOIs	https://doi.org/10.1007/s00270-019-02334-2
état	Publié - 1 janv. 2020

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10.1007/s00270-019-02334-2

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title = "Percutaneous Fixation by Internal Cemented Screws of the Sternum",

abstract = "Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance. Materials and Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected. Results: Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8). Conclusion: Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.",

keywords = "Bone metastasis, Cementoplasty, Fracture, Pain palliation, Percutaneous fixation, Screw, Sternum",

author = "Benjamin Poussot and Frederic Deschamps and Florent Varin and Abdelhai Abed and Benjamin Moulin and Clara Prud{\textquoteright}homme and {Al Ahmar}, Marc and Christophe Teriitehau and Antoine Hakime and Sophie Laurent and {de Baere}, Thierry and Lambros Tselikas",

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T1 - Percutaneous Fixation by Internal Cemented Screws of the Sternum

AU - Poussot, Benjamin

AU - Deschamps, Frederic

AU - Varin, Florent

AU - Abed, Abdelhai

AU - Moulin, Benjamin

AU - Prud’homme, Clara

AU - Al Ahmar, Marc

AU - Teriitehau, Christophe

AU - Hakime, Antoine

AU - Laurent, Sophie

AU - de Baere, Thierry

AU - Tselikas, Lambros

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance. Materials and Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected. Results: Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8). Conclusion: Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.

AB - Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance. Materials and Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Sternal images at last follow-up appointment were also collected. Results: Among the 9 patients, 7 had a sternal fracture with 5 being displaced. The technical feasibility was 100%. Both NPRS score significantly decreased from 5.6/10 ± 2.8 to 1.1/10 ± 1.6, and analgesic consumption was significantly improved (p = 0.03) after intervention. No post-procedural complications requiring surgical correction or screw displacement occurred after a mean imaging follow-up that exceeded 1 year (mean follow-up duration, 401.8 days ± 305.8). Conclusion: Image-guided sternal percutaneous FICS is feasible and safe. It reduces pain and analgesic consumption related to pathologic fracture of the sternum.

KW - Bone metastasis

KW - Cementoplasty

KW - Fracture

KW - Pain palliation

KW - Percutaneous fixation

KW - Screw

KW - Sternum

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