According to results of a retrospective analysis conducted by the investigators of Gustave Roussy Institute and the University of Paris-South, internal cemented screw (FICS) using the cone-beam CT needle and fluoroscopy supervision is an efficient and safe approach to fix pathologic pelvic fractures.

The single-centre study involved the retrospective analysis of 100 consecutive cancer patients with pathologic pelvic fractures managed with percutaneous FICS. Fluoroscopy and cone-beam CT needle guidance software were used for image guidance. Paired-sample t-test was applied to determine a comparison between pain palliative outcomes and opioid use following FICS.

A total of 141 pathologic fractures of 100 patients were palliated by performing 107 percutaneous FICS procedures from 2010 to 2017. One hundred and four processes out of 107 were technically successful, with mean postprocedure hospitalisation of 2 days ± 3. Fourteen patients found to have some complications like tumour track seeding, hematoma, focal pain at the procedure site for longer than 48 hours, infection, screw displacement, and progressive fracture despite fixation. The mean numeric rating scale pain score was improved considerably at six weeks from 6.1 ± 2.5 to 2.1 ± 3.0 in the 88 patients who achieved early follow-up. The use of opioids also reduced at six weeks. These outcomes explain a significant role of fluoroscopy and cone-beam CT–guided fixation by the internal cemented screw.