Semin intervent Radiol 2020; 37(02): 192-198
DOI: 10.1055/s-0040-1709205
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Interventional Techniques for Treatment of Spinal Metastases

Anderanik Tomasian
1  Department of Radiology, University of Southern California, Los Angeles, California
,
Jack W. Jennings
2  Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2020 (online)

Abstract

This article details an approach for evaluation as well as minimally invasive percutaneous treatment of spinal metastases focusing on thermal ablation and most recent advances. Safe and effective management of certain subgroups of patients with spinal metastases can be achieved by minimally invasive percutaneous thermal ablation with or without vertebral augmentation. Adjunctive palliative treatment options such as epidural or neuroforaminal corticosteroid and long-acting anesthetic injections may also be performed in patients who have nerve and radicular pain including those who are not candidates for thermal ablation. Thermal protection strategies should be implemented to minimize the risk of neural thermal injury.