Angioembolization and Radiofrequency Ablation Assisted Vertibroplasy for Lytic Metastatic Tumour of Spine

Background: To determine the safety and efficacy of angioembolization and RFA assisted vertebroplasty (VP) on the basis of clinical outcome in pathological / insufficiency fracture of vertebra. The insufficiency fracture because of lytic metastasis secondary to primary malignancy, which is commenest malignancy of skeletal system. Method(s): Patient refered to ir department from 2008 to 2018 for malignant / pathological vertebral body fracture were assessed and distributed in two groups: (1) Multiple myeloma group. (2) Non myeloma group. For these two groups vertebroplasty assessment done and the other possibilities ruled out. Cocktail therapy was planned and given to only non myeloma group. Clinical effectiveness was assessed by cect spine and electronic medical record pre and post procedure. Pain score (VAS) were also documented pre and post procedure. Result(s): 31 patients were included in the study, which make 40 vp level. 6 patients were done angioembolization and rfa assisted vertebroplasty. 16 patients were done only rfa assisted vertebroplasty. 9 patients were done only vertebroplasty. All the cases were successfully treated without any morbidity and mortality. Pain score (VAS) reduced and increase in quality of life. Conclusion(s): Angioembolization and rfa assisted vertebroplasty is a safe and effective treatment option for metastatic lesion with soft tissue mass. Angioembolization decreases vascularity of soft mass and thermal cavity (RFA) allows controlled cement injection without posterior or disc leak.

Publikationsverlauf

Artikel online veröffentlicht:
11. Mai 2021