Percutaneous Interventional Management of Spinal Metastasis

Area of Science:

• Oncology
• Neurosurgery
• Interventional Radiology

Background:

• Spinal metastasis often causes severe pain and reduced quality of life.
• Percutaneous management has evolved from diagnostic to therapeutic roles for spinal tumors.
• Conventional treatments include radiotherapy and open surgery.

Purpose of the Study:

• To evaluate the efficacy of percutaneous management for spinal metastasis.
• To assess pain reduction, tumor control, and quality of life improvements.
• To explore the potential synergistic role of combined percutaneous techniques.

Main Methods:

• Percutaneous vertebral augmentation (PVA) for stabilization and pain relief.
• Minimally invasive local ablative procedures (MILAPs) for tumor burden control.
• Assessment of outcomes including pain scores and quality of life metrics.

Main Results:

• PVA demonstrated substantial pain reduction, vertebral stabilization, and improved quality of life.
• MILAPs showed significant pain reduction, local tumor control, and enhanced quality of life.
• Combined PVA and MILAP may offer synergistic benefits in selected patients.

Conclusions:

• Percutaneous management is a valuable therapeutic option for spinal metastasis.
• These minimally invasive techniques improve patient quality of life with low procedural risk.
• The role of percutaneous management is expected to expand with technological advancements.