Case Report

Percutaneous restoration of bone continuity with screws and PMMA cement in an extensive destruction of the pelvis

¹ Department of Radiology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris (APHP), 75010 Paris, France
² Department of Orthopedic Surgery, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris (APHP), 75010 Paris, France
³ Department of Oncological, Centre Hospitalier René Dubos, 95300 Pontoise, France
⁴ Université Paris Diderot, Sorbonne Paris Cité, Faculté de Médecine, 75013 Paris, France

^* Corresponding author: annelaure.hermann@gmail.com

Received: 14 March 2019
Accepted: 4 April 2019

Abstract

We report a case of combined percutaneous screw placement and cementoplasty guided by CT and fluoroscopy in a 66-year-old man with extensive osteolytic destruction of the right iliac bone and sacral wing due to metastasic infiltrative vesical carcinoma. The medical condition was responsible for very limited and painful walking. Two perpendicular screws were inserted into the iliac bone and sacroiliac joint, and bone cement injection was used to anchor the screws and restore the mechanical continuity of the pelvis ring. This minimally invasive procedure allowed for significant and rapid resumption of painless walking.