Spinal Metastasis Treated with Percutaneous Radiofrequency Ablation and Vertebroplasty In A Day Care Treatment: A Case Report and Review of The Literature

doi:10.38207/jmcrcs20103

Abstract

Case. A 74-year-old woman with renal cell carcinoma had an oligometastatic in the vertebra T7 which was treated surgically and adjuvant radiation therapy. Nine months later, the patient reported severe back pain. CT showed a new metastasis of the vertebral body of L1. This lesion was ablated using percutaneous transpedicular radiofrequency ablation (RFA) in combination with the application of bone cement vertebroplasty. Percutaneous transpedicular RFA was considered beneficial, due to being minimally invasive, possible in a daycare setting and lacking the tissue damage as compared to open surgical treatment. This paper describes the perks of RFA as a treatment in spinal metastasis to create awareness for this valuable alternative palliative treatment in a metastasized setting. Conclusion. Percutaneous radiofrequency ablation in combination with the application of vertebroplasty is a potential minimal invasive option to reduce the tumor load, provide pain relief, and stabilization in daycare.

Highlights

The vertebral body is the most common location among osseous sites for metastatic lesions, accounting for 40% of all bone metastatic lesions [1,2]
This paper describes the perks of radiofrequency ablation (RFA) as treatment in spinal metastasis to create awareness for this valuablealternative palliative treatment in a metastasized setting
RFA has been used before for minimally invasive treatment of vertebral metastasis [3,7]. It is performed by accessing the vertebral body under computed tomography (CT) guidance to generate cytotoxic temperatures that cause tumor necrosis

Summary

Introduction

The vertebral body is the most common location among osseous sites for metastatic lesions, accounting for 40% of all bone metastatic lesions [1,2]. This lesion was ablatedusing percutaneous transpedicular radiofrequency ablation (RFA) in combination with the application of bone cement vertebroplasty. Percutaneous radiofrequency ablation in combination with the application of vertebroplasty is a potential minimal invasive option to reduce the tumor load, provide pain relieve and stabilization in day care.

Results

Conclusion