• Nilgun Senol, Ali Serdar Oguzoglu, and Hakan Murat Goksel.
• Department of Neurosurgery, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Electronic address: drnilgunsenol@yahoo.com.
• World Neurosurg. 2022 Jul 1; 163: e420-e425.

ObjectiveTo evaluate functional outcome after combined radiofrequency ablation and vertebral augmentation in patients with metastatic spinal tumors using visual analog scale and Oswestry Disability Index scores.MethodsThis retrospective study included 41 patients with metastatic spinal tumors. There were 19 women and 22 men with a mean age of 67 years (range, 45-87 years). Visual analog scale and Oswestry Disability Index were used to assess the intensity of pain and quality of life. The assessments were performed before the procedure and at 1 week and 1, 2, 3, and 6 months after the procedure.ResultsNo serious complications were seen in the periprocedural period. Two patients (4.8%) had transient neurological motor deficits without cement leakage, and 1 patient had a pulmonary embolism with transient mild symptoms. The comparison of preprocedural visual analog scale and Oswestry Disability Index scores with postprocedural scores up to 6 months after treatment revealed significant pain control and good functional state.ConclusionsSpinal metastasis is a frequent entity in the growing population of patients with cancer. A multidisciplinary approach using several nonsurgical and minimally invasive methods (e.g., radiofrequency ablation, vertebroplasty, balloon kyphoplasty) is key to successful management, and combining these procedures is effective against spinal metastatic pain.Copyright © 2022 Elsevier Inc. All rights reserved.

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