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European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-12-2021 | Metastasis | General Review

Percutaneous bipolar radiofrequency ablation for spine metastatic lesions

Authors: Dimitrios Filippiadis, Alexis Kelekis

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2021

Abstract

Purpose

The purpose of this review is to become familiar with the most common indications for imaging guided percutaneous bipolar radiofrequency ablation, to learn about different technical considerations during performance providing the current evidence. Controversies concerning products will be addressed.

Methods

We performed a literature review excluding non-English studies and case reports. All references of the obtained articles were also evaluated for any additional information.

Results

RFA achieves cytotoxicity by raising target area temperatures above 60 °C, and may be used to achieve total necrosis of lesions smaller than 3 cm in diameter, to debulk and reduce the pain associated with larger lesions, to prevent pathological fractures due to progressive osteolysis or for cavity creation aiming for targeted cement delivery in case of posterior vertebral wall breaching. Protective ancillary techniques should be used in order to increase safety and augment efficacy of RFA in the spine.

Conclusion

Percutaneous radiofrequency ablation of vertebral lesions is a reproducible, successful and safe procedure. Ablation should be combined with vertebral augmentation in all cases. In order to optimize maximum efficacy a patient- and a lesion-tailored approach should both be offered focusing upon clinical and performance status along with life expectancy of the patient as well as upon lesion characteristics.

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Title: Percutaneous bipolar radiofrequency ablation for spine metastatic lesions
Authors: Dimitrios Filippiadis
Alexis Kelekis
Publication date: 01-12-2021
Publisher: Springer Paris
Keyword: Metastasis
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2021
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-021-02947-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous bipolar radiofrequency ablation for spine metastatic lesions

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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