Abstract:
OBJECTIVE:The author presents data to support the continued need for ablative procedures, particularly cordotomy, in the management of cancer-related pain. 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. RESULTS:After surgical intervention, patients reported initial and 6-months follow-up pain relief as 98 and 80%, respectively. 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.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Raslan AMdoi
10.1227/01.neu.0000317397.16089.f5subject
Has Abstractpub_date
2008-03-01 00:00:00pages
226-33; discussion 233-4issue
3 Suppl 1eissn
0148-396Xissn
1524-4040pii
00006123-200803001-00031journal_volume
62pub_type
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