Management of metastatic bone disease of the pelvis: current concepts.
Purpose: Metastatic disease of the pelvis is frequently associated with severe pain and impaired ambulatory function. Depending on the patient's characteristics, primary tumor, and metastatic pelvic disease, the treatment choice may be varied. This study aims to report on the current management opti...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 50; no. 4; pp. 1277 - 1295 |
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| Autores principales: | , , |
| Formato: | algorithm diagnostic images review tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180130891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180130891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2024 vid: 50 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 180130891 173467492 180130891 180130891 10.1007/s00068-023-02382-x 180130891 ppf: 1277 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Management of metastatic bone disease of the pelvis: current concepts. aug: au: Çevik, Hüseyin Bilgehan Ruggieri, Pietro Giannoudis, Peter V. affil: Orthopaedics and Traumatology, Ankara Etlik City Hospital, University of Health Sciences, Ankara, Turkey sug: subj: Pelvic Bones Pathology Bone Metastases Therapy Fractures, Spontaneous Fracture Fixation Methods Reference Databases, Health Bone Metastases Radiotherapy Acetabulum Anatomy and Histology Treatment Outcomes Weight-Bearing Analgesics Therapeutic Use Diphosphonates Therapeutic Use Chemotherapy, Cancer Radiofrequency Ablation Cryosurgery Embolization, Therapeutic Cementoplasty Minimally Invasive Procedures ab: Purpose: Metastatic disease of the pelvis is frequently associated with severe pain and impaired ambulatory function. Depending on the patient's characteristics, primary tumor, and metastatic pelvic disease, the treatment choice may be varied. This study aims to report on the current management options of metastatic pelvic disease. Methods: We comprehensively researched multiple databases and evaluated essential studies about current concepts of managing a metastatic bone disease of the pelvis, focusing on specific indications as well as on the result of treatment. Results: Pelvic metastases not in the periacetabular region can be managed with modification of weight-bearing, analgesics, bisphosphonates, chemotherapy and/or radiotherapy. Minimally invasive approaches include radiofrequency ablation, cryoablation, embolization, percutaneous osteoplasty, and percutaneous screw placement. Pathological or impending periacetabular fracture, excessive periacetabular bone defect, radioresistant tumor, and persistent debilitating pain despite non-surgical treatment and/or minimally invasive procedures can be managed with different surgical techniques. Overall, treatment can be divided into nonoperative, minimally invasive, and operative based on specific indications, the expectations of the patient and the lesion. Conclusion: Different treatment modalities exist to manage metastatic pelvic bone disease. Decision-making for the most appropriate treatment should be made with a multidisciplinary approach based on a case-by-case basis. pubtype: Academic Journal doctype: algorithm diagnostic images review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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