[Translated article] Tumor ablation and vertebral augmentation in the treatment of vertebral metastases: A multicenter study

Revista espanola de cirugia ortopedica y traumatologia(2023)

Cited 0|Views8
No score
Abstract
Introduction Treatment of metastatic vertebral fractures without neural compression is performed with percutaneous cementation techniques. The increase in intratumoral pressure by these techniques can send tumour cells into the bloodstream. To prevent this dissemination and improve pain treatment, ablation techniques have been introduced that would allow the creation of a cavity in the tumour prior to cementation or directly necrosing the metastasis when its size is small. Material We present the experience with ablation of two hospitals and two different ablation techniques. The first group used radiofrequency ablation (A) in 14 patients (26 vertebrae), 4 of whom underwent vertebral arthrodesis. The second group used microwave ablation (B) in 93 patients (129 lesions) without associated vertebral instrumentation. Results In group A pain improvement in VAS was 7.7-2.6 at 6 weeks. There were no complications derived from the ablation. In most cases cementation was associated. In the group B pain improvement in VAS went from 6.8-1.7 at 6 weeks. Cementation was associated in all cases. There were no complications derived from the ablation. Conclusion The association of ablation techniques with vertebral cementation is a safe technique that significantly improves the patient's pain and can help control the disease.
More
Translated text
Key words
Ablación,Ablación por microondas,Ablation,Augmentation,Cementación,Metástasis vertebrales,Microwave Ablation,Radiofrecuencia,Radiofrecuency,Vertebral Fracture,Vertebral metastases,fractura vertebral
AI Read Science
Must-Reading Tree
Example
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined