Ces radiol. 2007, 61(3):327-334

Position of the miniinvasive therapy in patients with hemato-oncological involvement of the vertebral columnReview article

Pavel Ryška¹, Václav Málek², Karel Odrážka³, Leoš Ungermann¹, Vladimír Maissnar⁴, Kurt Maltoven⁴, Ondřej Renc¹, Antonín Michl¹

¹ Radiologická klinika LF UK a FN, Hradec Králové

² Neurochirurgická klinika LF UK a FN, Hradec Králové

³ Klinika onkologie a radioterapie LF UK a FN, Hradec Králové

⁴ Oddělení klinické hematologie LF UK a FN, Hradec Králové

Skeletal metastases are a common finding in patients with malignant tumors. Their most frequent location is the spine. Standard therapy is based on combined approach. Radiotherapy, surgical therapy, chemotherapy and imunotherapy are the basic methods of treatment. Radiotherapy is used preferentially in painful metastatic processes, but its analgetic effect starts relatively slowly, with maximum effect after 12-20 weeks. Another important factor for choice of combined treatment is the fact, that in 20-30% of patients the analgetic effect of radiotherapy is not sufficient. For these patients, new possibilities using miniinvasive techniques are present - percutaneous vertebroplasty (PV), percutaneous kyphoplasty (KP), ethanol ablation and radiofrequency ablation. This article focuses on the role of these methods in the treatment of patients with hematooncologic disease of the spine, on indications, contraindications, procedure techniqe and complications of these procedures. In the article is also summarised author's own experience with these methods and their reccomendations about procedure technique and complication prevention.

Keywords: ethanol ablativ, kyphoplasty, oncological vertebral disease, radiofrequency ablation, skeletal metastases, vertebroplasty

Accepted: June 18, 2007; Published: September 1, 2007  Show citation