Journal of Craniovertebral Junction and Spine

REVIEW ARTICLE
Year
: 2020  |  Volume : 11  |  Issue : 2  |  Page : 61--70

Management of metastatic vertebral lesions by interventional techniques: Systematic review of outcomes


Reddy Ravikanth 
 Department of Radiology, St. John's Hospital, Kattappana, Kerala, India

Correspondence Address:
Dr. Reddy Ravikanth
Department of Radiology, St. John's Hospital, Kattappana - 685 515, Kerala
India

Vertebral metastases represent an important cause of cancer-related morbidity and mortality. Among all available treatments, interventional percutaneous techniques have recently emerged as potential strategies for the management of oncologic patients with vertebral lesions. Minimally invasive image-guided therapies include “ablative” and “consolidative” ones. According to the number of metastases and the patient's performance status, ablative techniques can be performed with a curative or a palliative purpose since necrosis induced by critic changes of intralesional temperature determines both tumor debulking and destruction of pain receptors. On the other hand, consolidative treatments are based on the injection of polymethylmethacrylate cement to improve structural vertebral integrity and obtain pain alleviation and prevention of skeletal-related events. This article reviews the current recommendations supporting the role of interventional radiology in the management of vertebral metastases, focusing on the last updates in literature.


How to cite this article:
Ravikanth R. Management of metastatic vertebral lesions by interventional techniques: Systematic review of outcomes.J Craniovert Jun Spine 2020;11:61-70


How to cite this URL:
Ravikanth R. Management of metastatic vertebral lesions by interventional techniques: Systematic review of outcomes. J Craniovert Jun Spine [serial online] 2020 [cited 2020 Aug 9 ];11:61-70
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=2;spage=61;epage=70;aulast=Ravikanth;type=0