Keywords:
Bones, Interventional non-vascular, Neuroradiology spine, CT, Fluoroscopy, Ablation procedures, Biopsy, Vertebroplasty, Metastases
Authors:
V. Costanzo1, F. Verderame2, M. Midiri1, M. R. VACCARO NOTTE1, T. Angileri3; 1Palermo/IT, 2BAGHERIA (PA)/IT, 3BAGHERIA (PA)/IT
DOI:
10.1594/ecr2018/C-2410
Aims and objectives
The most frequent site of bone metastasis is the vertebrae,
likely related to the high hematopoietic activity and vascularization of the spine.
Most of the times first the posterior part of the vertebral body is invaded.
Spine metastases can lead to radiculopathy,
myelopathy,
deformity,
severe pain and pathologic fracture that result in spinal cord compression.
Spinal cord compressions present with pain in 90% of patients.
The treatment purpose is to palliate pain and prevent complications by reducing the length of hospital stay and by improving performance status.
Standard treatments include systemic therapies,
such as hormonal therapy,
analgesics and bisphosphonates,
and local,
focused on the lesion,
such as radiotherapy (RT) and surgery [1-2].
Aim of this study was to evaluate the results and complications of combined percutaneous biopsy,
radiofrequency thermoablation and vertebroplasty performed under CT-guidance,
at the same time in a single sitting,
in patient with dorsolumbar metastates to get pain reduction and vertebral body consolidation.