TY - JOUR
T1 - Radiofrequency Ablation of Spine Metastases
T2 - A Clinical and Technical Approach
AU - Yevich, Steven
AU - Chen, Stephen
AU - Metwalli, Zeyad
AU - Kuban, Joshua
AU - Lee, Stephen
AU - Habibollahi, Peiman
AU - McCarthy, Colin J.
AU - Irwin, David
AU - Huang, Steven
AU - Sheth, Rahul A.
N1 - Publisher Copyright:
© The Royal Society of Chemistry.
PY - 2021/12/22
Y1 - 2021/12/22
N2 - Percutaneous radiofrequency ablation (RFA) is an integral component of the multidisciplinary treatment algorithm for both local tumor control and palliation of painful spine metastases. This minimally invasive therapy complements additional treatment strategies, such as pain medications, systemic chemotherapy, surgical resection, and radiotherapy. The location and size of the metastatic lesion dictate preprocedure planning and the technical approach. For example, ablation of lesions along the spinal canal, within the posterior vertebral elements, or with paraspinal soft tissue extension are associated with a higher risk of injury to adjacent spinal nerves. Additional interventions may be indicated in conjunction with RFA. For example, ablation of vertebral body lesions can precipitate new, or exacerbate existing, pathologic vertebral compression fractures that can be prevented with vertebral augmentation. This article reviews the indications, clinical work-up, and technical approach for RFA of spine metastases.
AB - Percutaneous radiofrequency ablation (RFA) is an integral component of the multidisciplinary treatment algorithm for both local tumor control and palliation of painful spine metastases. This minimally invasive therapy complements additional treatment strategies, such as pain medications, systemic chemotherapy, surgical resection, and radiotherapy. The location and size of the metastatic lesion dictate preprocedure planning and the technical approach. For example, ablation of lesions along the spinal canal, within the posterior vertebral elements, or with paraspinal soft tissue extension are associated with a higher risk of injury to adjacent spinal nerves. Additional interventions may be indicated in conjunction with RFA. For example, ablation of vertebral body lesions can precipitate new, or exacerbate existing, pathologic vertebral compression fractures that can be prevented with vertebral augmentation. This article reviews the indications, clinical work-up, and technical approach for RFA of spine metastases.
KW - ablation
KW - radiofrequency
KW - spine
KW - vertebral
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U2 - 10.1055/s-0041-1740351
DO - 10.1055/s-0041-1740351
M3 - Article
C2 - 34937119
AN - SCOPUS:85122200937
SN - 1089-7860
VL - 25
SP - 795
EP - 804
JO - Seminars in Musculoskeletal Radiology
JF - Seminars in Musculoskeletal Radiology
IS - 6
ER -