The Surgical Treatment of Pelvic Bone Metastases
Pelvic bone metastases are a growing concern in the field of orthopedic surgery. Patients with pelvic metastasis are individually different with different needs of treatment in order to attain the best possible quality of life despite the advanced stage of disease. A holistic collaboration among the...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/525363 |
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| _version_ | 1832557130009280512 |
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| author | Daniel A. Müller Rodolfo Capanna |
| author_facet | Daniel A. Müller Rodolfo Capanna |
| author_sort | Daniel A. Müller |
| collection | DOAJ |
| description | Pelvic bone metastases are a growing concern in the field of orthopedic surgery. Patients with pelvic metastasis are individually different with different needs of treatment in order to attain the best possible quality of life despite the advanced stage of disease. A holistic collaboration among the oncologist, radiation therapist, and orthopedic surgeon is mandatory. Special attention has to be directed to osteolytic lesions in the periacetabular region as they can provoke pathological fractures and subsequent functional impairment. Different reconstruction techniques for the pelvis are available; the choice depends on the patient’s prognosis, size of the bone defect, and response of the tumor to adjuvant treatment. If all the conservative treatments are exhausted and the patient is not eligible for surgery, one of the various percutaneous ablation procedures can be considered. We propose a pelvic analogue to the treatment algorithm in long bone metastasis and a scoring system in pelvic metastasis. This algorithm aims to simplify the teamwork and to avoid under- or overtreatment of pelvic bone metastases. |
| format | Article |
| id | doaj-art-cd7d70f73648454fbf03bbeedda5d381 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-cd7d70f73648454fbf03bbeedda5d3812025-02-03T05:43:33ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/525363525363The Surgical Treatment of Pelvic Bone MetastasesDaniel A. Müller0Rodolfo Capanna1Department of Orthopedic Surgery, Balgrist University Hospital, 8008 Zurich, SwitzerlandDepartment of Orthopedic Oncology, Careggi University Hospital, 50139 Florence, ItalyPelvic bone metastases are a growing concern in the field of orthopedic surgery. Patients with pelvic metastasis are individually different with different needs of treatment in order to attain the best possible quality of life despite the advanced stage of disease. A holistic collaboration among the oncologist, radiation therapist, and orthopedic surgeon is mandatory. Special attention has to be directed to osteolytic lesions in the periacetabular region as they can provoke pathological fractures and subsequent functional impairment. Different reconstruction techniques for the pelvis are available; the choice depends on the patient’s prognosis, size of the bone defect, and response of the tumor to adjuvant treatment. If all the conservative treatments are exhausted and the patient is not eligible for surgery, one of the various percutaneous ablation procedures can be considered. We propose a pelvic analogue to the treatment algorithm in long bone metastasis and a scoring system in pelvic metastasis. This algorithm aims to simplify the teamwork and to avoid under- or overtreatment of pelvic bone metastases.http://dx.doi.org/10.1155/2015/525363 |
| spellingShingle | Daniel A. Müller Rodolfo Capanna The Surgical Treatment of Pelvic Bone Metastases Advances in Orthopedics |
| title | The Surgical Treatment of Pelvic Bone Metastases |
| title_full | The Surgical Treatment of Pelvic Bone Metastases |
| title_fullStr | The Surgical Treatment of Pelvic Bone Metastases |
| title_full_unstemmed | The Surgical Treatment of Pelvic Bone Metastases |
| title_short | The Surgical Treatment of Pelvic Bone Metastases |
| title_sort | surgical treatment of pelvic bone metastases |
| url | http://dx.doi.org/10.1155/2015/525363 |
| work_keys_str_mv | AT danielamuller thesurgicaltreatmentofpelvicbonemetastases AT rodolfocapanna thesurgicaltreatmentofpelvicbonemetastases AT danielamuller surgicaltreatmentofpelvicbonemetastases AT rodolfocapanna surgicaltreatmentofpelvicbonemetastases |