Minimally invasive percutaneous ablation of osseous metastatic disease

Patients with bone metastases generally have a poor prognosis and lower survival expectations. Newer systemic therapies and targeted drugs have allowed better management of bone metastases, leading to increased life expectancy for many patients. Minimally invasive ablative techniques can be used for pain palliation and local control, and they can also provide structural stability in patients with metastatic disease. The most frequently utilized ablative techniques include cryoablation, radiofrequency ablation, microwave ablation, and magnetic resonance imaging-guided focused ultrasound. Here, we review the use of these minimally invasive techniques in patients with osseous metastatic disease, as well as the use of cementoplasty for mechanical stabilization.