• Ji Hyeon Lee, In Young Kim, Young Don Kim, So Young Lee, and Jin Yong Jung.
• Department of Anesthesiology and Pain Medicine.
• Medicine (Baltimore). 2021 Apr 16; 100 (15): e25521e25521.

RationalePercutaneous cementoplasty is a minimally invasive procedure that can provide immediate pain relief and improve range of motion in patients with metastatic bone pain. Conventionally, this procedure is guided by computed tomography (CT). However, to minimize exposure to radiation, we performed percutaneous cementoplasty under the guidance of a navigation system.Patient ConcernsA 60-year-old man presented with left hip pain for several months due to bone metastasis in the left ilium.DiagnosesThe patient was diagnosed with lung cancer and multiple bone metastases including ileum.InterventionsThe puncture needle was placed under the guidance of a navigation system with pre-procedure CT images, and bone cement was injected into the osteolytic lesion in the left ilium.OutcomesBone cement placement was confirmed by post-procedure radiography, and its distribution was satisfactory. The patient's Karnofsky Performance Scale and Brief Pain Inventory scores showed improvement in pain and mobility without complications.LessonsPercutaneous cementoplasty guided by a navigation system is a safer and more effective method with less radiation compared with conventional CT-guided methods.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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