Percutaneous Pelvic Cementoplasty with or Without Screw Fixation in Patients Aged 70 Years and Over: Safety and Clinical Outcomes

Sunday, April 12, 2026

3:54 PM - 4:03 PM ET

Location: 714A

Presenting Author(s)

Sylvain Grange, MD, PhD

Interventional Radiologist
Department of Radiology, University Hospital of Saint-Etienne, Faculty of Medicine, Jean Monnet University, Mines Saint-Etienne, INSERM, SAINBIOSE U1059, Saint-Etienne, France, Rhone-Alpes, France

Author/Co-author(s)

HT

Hella Tcheir, MD

Rhumatologist
Department of Rhumatology, University Hospital of Saint Etienne, Saint-Etienne, France, Rhone-Alpes, France
LL

Ludovic Lafaie, MD

Gerontologist
Department of Geriatric Medicine, University Hospital of Saint Etienne, Rhone-Alpes, France
LG

Lucile Grange, MD

Internist
Department of Internal Medicine, University Hospital of Saint Etienne, Rhone-Alpes, France
YC

Youri Chauleur, MD

Gerontologist
Department of Geriatric Medicine, University Hospital of Saint Etienne, Saint-Etienne, France., Rhone-Alpes, France
AA

Adamah Amouzougan, MD

Rhumatologist
From the Department of Rhumatology, University Hospital of Saint Etienne, Saint-Etienne, France., Rhone-Alpes, France
TT

Thierry Thomas, MD, PhD

Rhumatologist
Department of Rhumatology, University Hospital of Saint Etienne, Saint-Etienne, France., Rhone-Alpes, France
RG

Rémi Grange, MD

Interventional Radiologist
CHU Saint-Etienne, Service de Radiologie, Saint-Etienne, France; Universite Jean Monnet Saint-Etienne, France, Rhone-Alpes, France

Purpose: To evaluate the safety and effectiveness of image-guided cementoplasty, with or without screw fixation, for
treating pelvic bony lesions in patients aged 70 years and older.

Materials and Methods: This single-center retrospective study included all image-guided cementoplasties, with or without
screw fixation, performed between June 2018 and November 2022 for the management of pelvic osteoporotic fractures or
neoplastic lesions in patients aged 70 years and older.

Results: A total of 46 interventions were successfully performed, including 8 for osteoporotic fractures and 38 for
neoplastic lesions. No major procedure-related adverse events were observed. Among the 36 cases assessed, 25 (69.4%)
patients either switched to a lower analgesic level or reduced their analgesic consumption within 1 month postprocedurally.
Specifically, 14 of 25 (56.0%) patients required less potent analgesic drugs, while 11 of 25 (44.0%) reduced their daily dose
of the same analgesic drug. The proportion of patients able to stand increased from 21 of 44 (47.7%) to 41 of 44 (93.2%),
while the proportion able to walk rose from 21 of 44 (47.7%) to 40 of 44 (90.9%).

Conclusion: Percutaneous cementoplasty, with or without screw fixation, is a safe and effective technique for managing
pelvic lesions in patients aged 70 years and older. It results in significant pain reduction and facilitates early mobilization,
with most patients able to stand the day after the procedure.