Author/Authors :
alanyalı, senem ege üniversitesi - tıp fakültesi - radyasyon onkolojisi anabilim dalı, Türkiye , duran, özge ege üniversitesi - tıp fakültesi - radyasyon onkolojisi anabilim dalı, Türkiye , argın, mehmet ege üniversitesi - tıp fakültesi - radyodiagnostik anabilim dalı, Türkiye , atamaz, funda çalış ege üniversitesi - tıp fakültesi - fiziksel tıp ve rehabilitasyon anabilim dalı, Türkiye , keçeci, burçin ege üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Türkiye
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.
