Percutaneous computed tomography-guided radiofrequency ablation of upper spinal cord pain pathways for cancer-related pain.

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

Neurosurgery

journal_title

Neurosurgery

authors

Raslan AM

doi

10.1227/01.neu.0000317397.16089.f5

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

226-33; discussion 233-4

issue

3 Suppl 1

eissn

0148-396X

issn

1524-4040

pii

00006123-200803001-00031

journal_volume

62

pub_type

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