Inside access By Sylvain Grange, MD, PhD Spotlighting recent JVIR research
Percutaneous pelvic cementoplasty with or without screw fixation in patients aged 70 years and over: Safety and clinical outcomes.
Tcheir H., et al. JVIR;36(10):1534-1541.
Read the full article on
jvir.org.
Tell us about you, your team and your institution. Sylvain Grange, MD, PhD: I work at the University Hospital of Saint- Étienne in France, where my clinical and research activities focus primarily on musculoskeletal imaging and interventional radiology. Currently, I am pursuing a 1-year research fellowship at McGill University in Montréal, Québec, Canada, where I am expanding my expertise and developing international collaborations.
Why did you pursue this topic? Dr. Grange: Bone consolidation is a critical issue in IR because it concerns both pediatric and elderly patients, and it involves a wide spectrum of conditions ranging from primary bone diseases to metastatic lesions. With an aging population, the demand for minimally invasive approaches to restore bone stability is rapidly increasing. Image- guided percutaneous consolidation,
using CT or cone-beam CT (CBCT), has now become a cornerstone technique to provide safe and effective minimally invasive treatment alternatives to surgery.
What are the key takeaways from your research? Dr. Grange: Our findings show that bone consolidation in elderly patients can be safely and effectively achieved using percutaneous cement augmentation, either alone or combined with screw fixation. Both strategies demonstrate excellent clinical outcomes, particularly in terms of pain relief, stability, and functional recovery, with a low rate of complications.
How do outcomes differ between patients receiving cementoplasty alone versus cementoplasty with screw fixation in terms of pain reduction, mobility improvement and complication rates? Dr. Grange: In our retrospective cohort, all patients achieved excellent outcomes, making direct comparisons between groups challenging. Moreover, the choice of technique was tailored to the patient’s individual situation, depending on factors such as bone quality and the presence of a fracture or lesion location. While both approaches were highly effective, prospective comparative studies are needed to establish whether combined screw fixation provides additional benefit in selected cases.
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