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Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain.
- Source :
-
Neurosurgery [Neurosurgery] 2008 Mar; Vol. 62 (3 Suppl 1), pp. 226-33; discussion 233-4. - Publication Year :
- 2008
-
Abstract
- Objective: The author presents data to support the continued need for ablative procedures, particularly cordotomy, in the management of cancer-related pain.<br />Methods: Fifty-one patients with cancer-related body or face pain were treated with computed tomography-guided radiofrequency ablation of the spinothalamic tract or trigeminal tract nucleus in the upper cervical region of the spinal cord. Forty-one patients underwent a unilateral cervical cordotomy, and 10 patients underwent a trigeminal tractotomy-nucleotomy. Three methods to assess patient pain were used: degree of pain relief, Visual Analog Scale, and total sleeping hours. The Karnofsky scale was used to measure the patient's level of function pre- and postprocedure.<br />Results: After surgical intervention, patients reported initial and 6-months follow-up pain relief as 98 and 80%, respectively.<br />Conclusion: Computed tomography-guided ablation of the upper cervical spinal cord is a safe and effective procedure to treat cancer pain involving the body or face. There remains a need for ablative procedures, in particular cordotomy, in the management of cancer-related pain.
- Subjects :
- Adolescent
Adult
Afferent Pathways diagnostic imaging
Afferent Pathways surgery
Aged
Female
Humans
Male
Middle Aged
Neoplasms complications
Neurosurgical Procedures methods
Pain etiology
Radiography
Treatment Outcome
Catheter Ablation methods
Neoplasms diagnostic imaging
Neoplasms surgery
Pain prevention & control
Spinal Nerve Roots diagnostic imaging
Spinal Nerve Roots surgery
Surgery, Computer-Assisted methods
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4040
- Volume :
- 62
- Issue :
- 3 Suppl 1
- Database :
- MEDLINE
- Journal :
- Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 18424990
- Full Text :
- https://doi.org/10.1227/01.neu.0000317397.16089.f5