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Percutaneous image-guided cryoablation of spinal metastases: A systematic review.
Sagoo, Navraj S; Haider, Ali S; Ozair, Ahmad; Vannabouathong, Christopher; Rahman, Masum; Haider, Maryam; Sharma, Neha; Raj, Karuna M; Raj, Sean D; Paul, Justin C; Steinmetz, Michael P; Adogwa, Owoicho; Aoun, Salah G; Passias, Peter G; Vira, Shaleen.
Afiliación
  • Sagoo NS; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States. Electronic address: navraj.sagoo@utsouthwestern.edu.
  • Haider AS; Texas A&M University College of Medicine, Bryan, TX, United States.
  • Ozair A; King George's Medical University, Lucknow, Uttar Pradesh, India.
  • Vannabouathong C; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.
  • Rahman M; Department of Neurosurgery, Mayo Clinic, Rochester, MN, United States.
  • Haider M; John Peter Smith Hospital, Fort Worth, TX, United States.
  • Sharma N; Roseman University of Health Sciences, South Jordan, UT, United States.
  • Raj KM; Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States.
  • Raj SD; Department of Radiology, Baylor University Medical Center, Dallas, TX, United States.
  • Paul JC; OrthoConnecticut Orthopedics, Danbury, CT, United States.
  • Steinmetz MP; Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, United States.
  • Adogwa O; Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.
  • Aoun SG; Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.
  • Passias PG; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, United States.
  • Vira S; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.
J Clin Neurosci ; 96: 120-126, 2022 Feb.
Article en En | MEDLINE | ID: mdl-34840092
Percutaneous cryoablation (PCA) is a minimally invasive technique that has been recently used to treat spinal metastases with a paucity of data currently available in the literature. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Prospective or retrospective studies concerning metastatic spinal neoplasms treated with current generation PCA systems and with available data on safety and clinical outcomes were included. In the 8 included studies (7 retrospective, 1 prospective), a total of 148 patients (females = 63%) underwent spinal PCA. Tumors were located in the cervical (3/109 [2.8%], thoracic (74/109 [68.8%], lumbar (37/109 [33.9%], and sacrococcygeal (17/109 [15.6%] regions. Overall, 187 metastatic spinal lesions were treated. Thermo-protective measures (e.g., carbo-/hydro-dissection, thermocouples) were used in 115/187 [61.5%] procedures. For metastatic spinal tumors, the pooled mean difference (MD) in pain scores from baseline on the 0-10 numeric rating scale was 5.03 (95% confidence interval [CI]: 4.24 to 5.82) at a 1-month follow-up and 4.61 (95% CI: 3.27 to 5.95) at the last reported follow-up (range 24-40 weeks in 3/4 studies). Local tumor control rates ranged widely from 60% to 100% at varying follow-ups. Grade I-II complications were reported in 9/148 [6.1%] patients and grade III-V complications were reported in 3/148 [2.0%]) patients. PCA, as a stand-alone or adjunct modality, may be a viable therapy in appropriately selected patients with painful spinal metastases who were traditionally managed with open surgery and/or radiation therapy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Columna Vertebral / Criocirugía Tipo de estudio: Guideline / Observational_studies / Systematic_reviews Límite: Female / Humans Idioma: En Revista: J Clin Neurosci Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Columna Vertebral / Criocirugía Tipo de estudio: Guideline / Observational_studies / Systematic_reviews Límite: Female / Humans Idioma: En Revista: J Clin Neurosci Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido