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Research ArticleSpine Imaging and Spine Image-Guided Interventions
Open Access

Percutaneous Sacroplasty with or without Radiofrequency Ablation for Treatment of Painful Sacral Metastases

Q.-H. Tian, K. -Han, T. Wang, D.-L. Min and C.-G. Wu
American Journal of Neuroradiology August 2022, 43 (8) 1222-1227; DOI: https://doi.org/10.3174/ajnr.A7587
Q.-H. Tian
aFrom the Departments of Diagnostic and Interventional Radiology (Q.-H.T., T.W., C.-G.W.)
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K. -Han
bOncology (K.-H., D.-L.M.), Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
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T. Wang
aFrom the Departments of Diagnostic and Interventional Radiology (Q.-H.T., T.W., C.-G.W.)
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D.-L. Min
bOncology (K.-H., D.-L.M.), Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
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C.-G. Wu
aFrom the Departments of Diagnostic and Interventional Radiology (Q.-H.T., T.W., C.-G.W.)
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  • FIG 1.
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    FIG 1.

    Drawings show the puncture needles in place for the 4 different approaches: the transiliac approach (A), short-axis technique of posterior approach (B), long-axis technique of posterior approach (C), anterior-oblique approach (D), and interpedicular approach (E).

  • FIG 2.
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    FIG 2.

    PSP procedure. A–C, Metastatic lesions in the sacral ala and bodies can be seen on enhanced sagittal and axial T1-weighted MR imaging and sagittal reconstruction CT images. D and E, Radiographs obtained during percutaneous cement injection with the patient in the supine position. F and G, After PSP, there is homogeneous and sufficient distribution of bone cement in the lesions.

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  • Baseline characteristics and clinical outcomes in patients with sacral metastatic tumors between the 2 groups

    CharacteristicPSP + RFA (Group A; n = 51)PSP (Group B; n = 75)P
    Age (mean) (yr)57.22 (SD, 11.41)62.11 (SD, 13.37).132
    Male/female27:2442:33.085
    Lung cancer/other cancer (No./No)17/3427/48.758
    Postoperative radiation/no radiation (No./No.)17/3429/46.542
    Zone I/other zones (No./No.)32/2663/41.503
    Lesion volume (mean) (mL)7.22 (SD, 1.74)6.69 (SD, 1.96).124
    Posterior approach/other approaches (No./No.)19/3741/50.183
    Technical success (No.) (%)51 (100)75 (100).999
    Operation time (mean) (min)47.56 (SD, 5.31)38.67 (SD, 5.19).002
    Cement leakage (No.) (%)10 (17.24)20 (19.23).361
    Cement filling volume (mean) (range) (mL)6.42 (SD, 1.73) (3–8)5.31 (SD, 1.52) (2–8).001
    Degree of cement filling (%)84.82% (SD, 0.37%)76.16% (SD, 0.77%).001
    Clinical follow-up (mean) (mo)10.08 (SD, 6.28)10.18 (SD, 5.59).823
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American Journal of Neuroradiology: 43 (8)
American Journal of Neuroradiology
Vol. 43, Issue 8
1 Aug 2022
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Cite this article
Q.-H. Tian, K. -Han, T. Wang, D.-L. Min, C.-G. Wu
Percutaneous Sacroplasty with or without Radiofrequency Ablation for Treatment of Painful Sacral Metastases
American Journal of Neuroradiology Aug 2022, 43 (8) 1222-1227; DOI: 10.3174/ajnr.A7587

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Sacroplasty with/without Radiofrequency Ablation
Q.-H. Tian, K. -Han, T. Wang, D.-L. Min, C.-G. Wu
American Journal of Neuroradiology Aug 2022, 43 (8) 1222-1227; DOI: 10.3174/ajnr.A7587
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