Percutaneous Interventional Management of Spinal Metastasis

Seon Kyu Lee, Brandon Weiss, Vijay Yanamadala, Allan Brook

Research output: Contribution to journalArticle

Abstract

Spinal metastasis is usually associated with debilitating pain and results in deteriorating life quality. The role of percutaneous management of spinal metastasis has evolved from a diagnostic role to a significant part of therapeutic options in conjunction with conventional management techniques, including radiotherapy and open surgical options. Percutaneous vertebral augmentation (PVA) showed substantial pain reduction, vertebral stabilization, and improvement of quality of life. Minimally invasive local ablative procedures (MILAPs) demonstrated significant pain reduction, local tumor burden control, and improvement of quality of life. Though combined PVA and MILAP's synergistic role in pain reduction may need additional investigation, considering different actions on spine metastasis patients, combining both techniques might beneficial to selected patients. The role of percutaneous management will likely expand since its role in improving patient's quality of life with very minimal procedure-related risk and in conjunction with future technological advancement.

Original languageEnglish (US)
Pages (from-to)249-254
Number of pages6
JournalSeminars in Interventional Radiology
Volume36
Issue number3
DOIs
Publication statusPublished - Jan 1 2019

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Keywords

  • interventional radiology
  • kyphoplasty
  • metastasis
  • radiofrequency ablation
  • spine
  • vertebroplasty

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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