Radiofrequency Ablation and Augmentation in the Management of Spinal Metastases: Clinical Experience in 41 Patients.

Abstract

OBJECTIVE:

To evaluate functional outcome after combined radiofrequency ablation and vertebral augmentation in patients with metastatic spinal tumors using visual analog scale and Oswestry Disability Index scores.

METHODS:

This retrospective study included 41 patients with metastatic spinal tumors. There were 19 women and 22 men with a mean age of 67 years (range, 45-87 years). Visual analog scale and Oswestry Disability Index were used to assess the intensity of pain and quality of life. The assessments were performed before the procedure and at 1 week and 1, 2, 3, and 6 months after the procedure.

RESULTS:

No serious complications were seen in the periprocedural period. Two patients (4.8%) had transient neurological motor deficits without cement leakage, and 1 patient had a pulmonary embolism with transient mild symptoms. The comparison of preprocedural visual analog scale and Oswestry Disability Index scores with postprocedural scores up to 6 months after treatment revealed significant pain control and good functional state.

CONCLUSIONS:

Spinal metastasis is a frequent entity in the growing population of patients with cancer. A multidisciplinary approach using several nonsurgical and minimally invasive methods (e.g., radiofrequency ablation, vertebroplasty, balloon kyphoplasty) is key to successful management, and combining these procedures is effective against spinal metastatic pain.

• Authors: Nilgun Senol, Ali Serdar Oguzoglu, Hakan Murat Goksel
• Journal: World neurosurgery (World Neurosurg) Vol. 163 Pg. e420-e425 (07 2022) ISSN: 1878-8769 [Electronic] United States
• PMID: 35395426 (Publication Type: Journal Article)
• Copyright: Copyright © 2022 Elsevier Inc. All rights reserved.

Topics

• Aged
• Catheter Ablation (methods)
• Female
• Fractures, Compression (surgery)
• Humans
• Kyphoplasty (methods)
• Male
• Pain (surgery)
• Quality of Life
• Retrospective Studies
• Spinal Fractures (surgery)
• Spinal Neoplasms (secondary)
• Treatment Outcome
• Vertebroplasty (methods)