Cordotomy, surgical lesioning of the lateral spinothalmic tract, has been practiced for the relief of pain since the early 1900s. However, since the advent of improved oral medications, cordotomy is now only reserved for patients with nociceptive, unilateral pain typical secondary to cancer pathology. The outcomes demonstrate substantial yet transient pain relief; pain relief can last about 3–6 months. With percutaneous CT guided cordotomies, complications such as postop motor weakness, central apnea, and dysesthetic pain are rare.
Cordotomy Cancer pain Lateral spinothalmic tract lesioning
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