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Spinal Neuroablation for Cancer Pain

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Essentials of Interventional Cancer Pain Management

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Abstract

In cases of refractory cancer pain, disruption of the pain processing mechanisms of the nervous system can be helpful, an approach that may be more useful as the risks of opioid analgesia becomes more evident. There are several targets in the spinal cord that are available for an ablative procedure for pain control. Cordotomy, or interruption of the lateral spinothalamic tract, can be effective in controlling unilateral pain below the C4 dermatome. Myelotomy disconnects a dorsal midline polysynaptic visceral pain pathway and can reduce visceral, retroperitoneal, pelvic, or sacral pain. Along with other targets for neuroablation, these are important components of a successful approach to controlling cancer pain.

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Author information

Authors and Affiliations

  1. Center for the Relief of Pain, Kansas City, MO, USA

    William S. Rosenberg

  2. University of Michigan Medical Center, Ann Arbor, MI, USA

    Parag G. Patil

  3. Oregon Health & Science University, Department of Neurosurgery, Portland, OR, USA

    Ahmed M. Raslan

  4. Portland VA Medical Center, Neurological Surgery, Portland, OR, USA

    Ahmed M. Raslan

Authors
  1. William S. Rosenberg
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  2. Parag G. Patil
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  3. Ahmed M. Raslan
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Corresponding author

Correspondence to William S. Rosenberg .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Amitabh Gulati

  2. Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Vinay Puttanniah

  3. Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA

    Brian M. Bruel

  4. Midwest Neuroscience Institute, Center for the Relief of Pain, Kansas City, MO, USA

    William S. Rosenberg

  5. Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Joseph C. Hung

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Rosenberg, W.S., Patil, P.G., Raslan, A.M. (2019). Spinal Neuroablation for Cancer Pain. In: Gulati, A., Puttanniah, V., Bruel, B., Rosenberg, W., Hung, J. (eds) Essentials of Interventional Cancer Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-99684-4_23

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  • DOI: https://doi.org/10.1007/978-3-319-99684-4_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99682-0

  • Online ISBN: 978-3-319-99684-4

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