Image‑guided minimally invasive percutaneous treatment of spinal metastasis

  • Authors:
    • Ping‑Lin Yang
    • Xi‑Jing He
    • Hao‑Peng Li
    • Quan‑Jin Zang
    • Guo‑Yu Wang
  • View Affiliations

  • Published online on: January 5, 2017     https://doi.org/10.3892/etm.2017.4029
  • Pages: 705-709
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Abstract

In order to provide effective options for minimally invasive treatment of spinal metastases, the present study retrospectively evaluated the efficacy and safety of image‑guided minimally invasive percutaneous treatment of spinal metastases. Image‑guided percutaneous vertebral body enhancement, radiofrequency ablation (RFA) and tumor debulking combined with other methods to strengthen the vertebrae were applied dependent on the indications. Percutaneous vertebroplasty (PVP) was used when vertebral body destruction was simple. In addition, RFA was used in cases where pure spinal epidural soft tissue mass or accessories (spinous process, vertebral plate and vertebral pedicle) were destroyed, but vertebral integrity and stability existed. Tumor debulking (also known as limited RFA) combined with vertebral augmentation were used in cases presenting destruction of the epidural soft tissue mass and accessories, and pathological vertebral fractures. A comprehensive assessment was performed through a standardized questionnaire and indicators including biomechanical stability of the spine, quality of life, neurological status and tumor progression status were assessed during the 6 weeks‑6 months follow‑up following surgery. After the most suitable treatment was used, the biomechanical stability of the spine was increased, the pain caused by spinal metastases within 6 weeks was significantly reduced, while the daily activities and quality of life were improved. The mean progression‑free survival of tumors was 330±54 days, and no associated complications occurred. Therefore, the use of a combination of image‑guided PVP, RFA and other methods is safe and effective for the treatment of spinal metastases.

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February-2017
Volume 13 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Yang PL, He XJ, Li HP, Zang QJ and Wang GY: Image‑guided minimally invasive percutaneous treatment of spinal metastasis. Exp Ther Med 13: 705-709, 2017.
APA
Yang, P., He, X., Li, H., Zang, Q., & Wang, G. (2017). Image‑guided minimally invasive percutaneous treatment of spinal metastasis. Experimental and Therapeutic Medicine, 13, 705-709. https://doi.org/10.3892/etm.2017.4029
MLA
Yang, P., He, X., Li, H., Zang, Q., Wang, G."Image‑guided minimally invasive percutaneous treatment of spinal metastasis". Experimental and Therapeutic Medicine 13.2 (2017): 705-709.
Chicago
Yang, P., He, X., Li, H., Zang, Q., Wang, G."Image‑guided minimally invasive percutaneous treatment of spinal metastasis". Experimental and Therapeutic Medicine 13, no. 2 (2017): 705-709. https://doi.org/10.3892/etm.2017.4029