Radyoterapiye bağlı pelvik yetmezlik kırığında tanıdan tedaviye multidisipliner yönetim

Senem Alanyalı; Özge Duran; Mehmet Argın; Funda Çalış Atamaz; Burçin Keçeci

doi:10.19161/etd.344302

EN TR

Multidisciplinary management of radiotherapy induced pelvic insufficiency fractures from diagnosis to treatment

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.

Keywords

Pelvic insufficiency fracture, radiotherapy

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Senem Alanyalı

Özge Duran

Mehmet Argın

Funda Çalış Atamaz

Burçin Keçeci

Publication Date

March 1, 2017

Submission Date

March 1, 2017

Acceptance Date

-

Published in Issue

Year 2017 Volume: 56 Number: 1

DOI

https://doi.org/10.19161/etd.344302

IZ

https://izlik.org/JA74UD94CM

Cite

RIS / Bibtex

Vancouver

1.Senem Alanyalı, Özge Duran, Mehmet Argın, Funda Çalış Atamaz, Burçin Keçeci. Radyoterapiye bağlı pelvik yetmezlik kırığında tanıdan tedaviye multidisipliner yönetim. EJM. 2017 Mar. 1;56(1):52-5. doi:10.19161/etd.344302

Multidisciplinary management of radiotherapy induced pelvic insufficiency fractures from diagnosis to treatment

Abstract

Keywords