Musculoskeletal complications following total body irradiation in hematopoietic stem cell transplant patients

Pediatr Blood Cancer. 2018 Apr;65(4). doi: 10.1002/pbc.26905. Epub 2017 Dec 29.

Abstract

Total body irradiation (TBI) is commonly used in conditioning regimens for allogeneic hematopoietic stem cell transplantation (HSCT) to treat benign and malignant disease. Though life-saving, these therapies place patients at risk for important side effects, including musculoskeletal complications such as short stature, osteonecrosis, slipped capital femoral epiphysis, and the development of benign and malignant bone tumors. With an increasing number of HSCT survivors, there is a growing need for awareness of the musculoskeletal complications of HSCT and TBI.

Keywords: hematopoietic stem cell transplantation; late-onset effects; osteochondroma; osteonecrosis; radiation-induced sarcoma; short stature; slipped capital femoral epiphysis; total body irradiation.

Publication types

  • Review

MeSH terms

  • Bone Neoplasms / pathology*
  • Female
  • Growth Disorders* / etiology
  • Growth Disorders* / pathology
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Male
  • Neoplasms, Radiation-Induced / pathology*
  • Osteonecrosis* / etiology
  • Osteonecrosis* / pathology
  • Slipped Capital Femoral Epiphyses / etiology
  • Slipped Capital Femoral Epiphyses / pathology
  • Whole-Body Irradiation / adverse effects*