Multidisciplinary management of radiotherapy induced pelvic insufficiency fractures from diagnosis to treatment
Journal Title: Ege Tıp Dergisi - Year 2017, Vol 56, Issue 1
Abstract
Pelvic insufficiency fractures (PIF) is a clinical situation observed in approximately 30% of the patients who had received pelvic radiotherapy due to the pelvic region malignancy. The clinical onset of PIF is generally within 1-2 years after RT. Sophisticated radiological investigations are required among which pelvic magnetic resonance imaging stands out as the most sensitive method to rule out metastases and confirm the diagnosis. For the diagnosis and treatment of PIF, an approach consisting a multidisciplinary team formed by a radiation oncologist, a radiologist, a physical medicine and rehabilitation physician, and an orthopedic surgeon is required. Patients might be either asemptomatic or might have serious hip pain complaint. Therefore the treatment is basically conservative, mainly focusing on pain management, weight restriction and vitamin D replacement. This review summarizes the risk factors of PIF, especially its association with radiotherapy, as well as diagnostic interventions and treatment of PIF.
Authors and Affiliations
Senem Alanyalı, Özge Duran, Mehmet Argın, Funda Çalış Atamaz, Burçin Keçeci
Keywords
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