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Lumbosacral DREZotomy for oncologic pain treatment: a case-based review
Brenda Iglesias1,2, Joaquín Pérez Zabala3, Romina Argañaraz3
1Department of Pediatric Neurosurgery, Hospital de Pediatría Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina. breniglesias.bi@gmail.com.
Purpose:
To present 3 cases of oncologic pain treated by DREZotomy in the pediatric population and to review the literature published about this procedure.
Methods:
The permanent literature about oncologic pain treatment in children and the applicability of DREZotomy was reviewed. Three cases treated at our institution were reviewed and presented.
Results:
In the pediatric population, the DREZotomy has been extensively applied for the treatment of spasticity and spasticity-related pain. Currently, there are no reports of oncologic pain treated by means of a DREZotomy in children. We presented 3 cases coursing the terminal stage of illness, presenting predominantly neuropathic, oncologic pain that were successfully managed after a DREZotomy was performed.
Conclusion:
In well-selected patients, with a good general condition and life expectancy to withstand an open neurosurgical procedure, DREZotomy is an excellent tool to treat neuropathic oncologic pain.
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