RESUMO
Bone metastases are the most common cause of pain in cancer patients. Pain management in cancer patients, often revealing the disease and always present at advanced stages, is an important and difficult task. Pain is not always properly controlled by high doses of specific medication, radiation therapy or chemotherapy. When these therapies do not provide adequate pain relief, percutaneous neurolysis, infiltrations, alcoholizations and cementoplasty may be considered. More recently RF ablation has been proposed. On weight-bearing bones, RF can be combined with acrylic cement injection. The authors present here this very effective new technique which is complementary to classical pain management techniques.
Assuntos
Cimentos Ósseos/uso terapêutico , Neoplasias Ósseas/secundário , Ablação por Cateter , Radiologia Intervencionista , Resinas Acrílicas/uso terapêutico , Idoso , Neoplasias Ósseas/cirurgia , Ablação por Cateter/efeitos adversos , Ablação por Cateter/instrumentação , Ablação por Cateter/métodos , Fraturas Ósseas/prevenção & controle , Humanos , Pessoa de Meia-Idade , Osteólise/terapia , Dor/prevenção & controle , Radiografia Intervencionista , Tomografia Computadorizada por Raios X , Vertebroplastia/métodosRESUMO
Invasion of bone by a metastatic lesion is the most common cause of pain in cancer patients. Pain management in these patients is an important and difficult task. The pain is not always properly controlled by high doses of specific medication, radiation therapy or chemotherapy. When these therapies do not provide adequate pain relief, percutaneous vertebroplasty, cementoplasty, radiofrequency ablation and internal radiotherapy appear to be elegant and efficient complementary alternative pain control methods.
Assuntos
Neoplasias Ósseas/secundário , Neoplasias Ósseas/terapia , Neoplasias Pulmonares/patologia , Manejo da Dor , Cimentos Ósseos , Neoplasias Ósseas/metabolismo , Eletrocirurgia , Humanos , Dor/etiologiaRESUMO
We report the unusual association of a split atlas and an odontoid fracture in a case of a cervical trauma, thus mimicking a complex C1-C2 fracture. The normal embryology of C1 and the literature on this rare malformation are reviewed.