| Description |
- Objective.
Interventional Radiologists’ involvement in percutaneous osseous interventions is increasing, however, postprocedural instructions related to weightbearing are often not given. The purpose of this study was to describe the implications of improper weightbearing precautions following procedures of bone biopsy, ablation, embolization, cementoplasty, and IlluminOss in the appendicular skeleton and sacrum, in addition to providing a series of weightbearing recommendations for the appendicular skeleton and sacrum.
Materials and Methods.
A scoping review was performed to examine the economic cost associated with improper weightbearing recommendations, any pre-existing set of weightbearing precautions for the procedures of interest, and the risk of fracture after the previously listed percutaneous osseous interventions.
Separately, weightbearing recommendations were defined by the authors for these procedures in the appendicular skeleton and sacrum.
Results.
For embolization, cementoplasty, and IlluminOss, all recommendations were weightbearing as tolerated as bone is reinforced and not degraded. Recommendations for biopsy and ablation ranged from weightbearing as tolerated to non-weightbearing based on the specific anatomic location.
The scoping review yielded no studies that were eligible for inclusion in the final analysis. As a result, no studies were available in the literature to provide definitive answers to the authors research questions.
Conclusion.
There is a lack of literature surrounding the risks of improper weightbearing recommendations after minimally invasive percutaneous osseous intervention. Despite the lack of comprehensive literature on the subject, this paper provides weightbearing recommendations based on expert opinion and anatomical considerations. Further research is needed to quantify the economic implications of improper weightbearing precautions.
|
|---|
