Outcomes of Percutaneous Stabilization for Pelvic Metastatic Bone Disease: A Systematic Review and Meta-Analysis

Abstract

Simple Summary Metastatic bone disease of the pelvis is an end-stage manifestation of cancer that can cause severe pain, fractures, and loss of mobility. Traditional open surgery can help stabilize the pelvis but is associated with major complications. Emerging technologies have enabled the increased use of minimally invasive percutaneous fixation as an alternative to help lower complication rates, but the outcomes following these procedures have not been comprehensively evaluated. Therefore, the primary aim of this systematic review was to evaluate changes in pain and function following percutaneous fixation for pelvic metastatic bone disease, and to determine the complication and reoperation rates of these procedures. We found that these surgeries were associated with significant improvements in pain and functional status. The complication and reoperation rates were 8% and 4%, respectively. This early data suggests that percutaneous fixation is a safe and effective treatment option for carefully selected patients with pelvic metastatic bone disease.