Abstract
In addition to being a major source of cancer-related pain, metastatic osseous lesions
are frequently at risk for pathologic fracture and its accompanying morbidity. While
bony metastases are commonly thought of as occurring within the vertebral column,
over 80% are found outside the spine. Percutaneous interventional treatment options
for nonspinal metastases offer a broad array of minimally invasive, image-guided procedures
that are rapidly effective, reduce the need for opioids, and often work in complementary
fashion with adjunct treatments in radiation oncology, orthopaedic surgery, and/or
medical oncology. This article presents an approach to assess extraspinal metastases,
reviews available interventional techniques in use today, and offers example cases
as an introductory primer to the thought process used for selecting the appropriate
interventional treatment.
Keywords
interventional radiology - bone metastasis - osseous - malignancy - cementoplasty
- ablation