Interventional Radiology, Thermoablation and Cryoablation
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It is estimated that each year around 5% of all cancer patients develop metastases to the spine. In these patients, pain is the most cardinal symptom. The treatment of bone metastases is determined by a multidisciplinary team where the interventional radiologist is increasingly taking on a crucial role. Open surgery is not frequently used for treatment of bone metastases, owing to its morbidity and the often short life span of the patients. Surgical indications include a fracture with associated a neurologic compromise or high risk of developing pathologic fracture, which could result in neurological damage. Percutaneous cryoablation and thermoablation procedures are the therapeutic choices with a good efficacy in the treatment of painful metastatic lesions refractory to traditional therapies. These ablative methods can also be performed in combination with percutaneous cementoplasty to support and stabilisation for metastases in weight-bearing bones at risk for pathologic fracture.
KeywordsCryosurgery Cryoablation (CA) Percutaneous Cementoplasty Thermal Ablation Procedures Painful Bone Metastases
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