Surgical Bone cancer treatment in the pelvis or spine

Bone cancer in the pelvis is treated with Wide-excision With Clean Margins if possible, and if necessary, a bone graft can be used to reconstruct the bones of the pelvis, while for tumors in areas such as the spine, it is difficult to perform Wide-excision With Clean Margins.
Treating cancer in these bones requires a combination of treatments such as Curettage. This procedure involves scraping or scraping the tumor from the bone with special tools without removing part of the bone. This leaves a hole in the bone. In some cases, after most of the tumor has been removed, the surgeon may treat the adjacent bone tissue with other techniques to try to kill any remaining cancer cells. Examples of these techniques include:
Cryotherapy
- Bone cancer is treated with cryogenics or freezing by pouring liquid nitrogen into the hole that remained in the bones after removing the tumor, as nitrogen kills cancer cells by freezing them, and after freezing, the gap in the bones can be filled through bone grafts or with bone cement.
- Bone cement is in the form of a liquid and then becomes solid with time, and is used by placing it while it is liquid in the gap that remained in the bone as a result of removing the tumor, and when it becomes solid, it emits a lot of heat that helps kill any remaining cancer cells, which allows it to be used with some types of bone tumors without the need for freezing.