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Lytic renal cell metastasis to the iliac pelvic brim (Blue arrow) resulted in severe pain limiting weight bearing ( a : oblique coronal view, b : oblique sagittal view). Locoregional treatment provided with embolization ( c ) and cryoablation ( d ) before pelvic FICS with fluoroscopy-guided advancement of two parallel cannulated, partially threaded, 6.5-mm diameter titanium screws from a posterior transiliac approach ( e ) and consolidative cementoplasty ( f and g ).
