RADIOFREQUENCY ABLATION PLUS VERTEBROPLASTY IN THE TREATMENT OF SYMPTOMATIC VERTEBRAL HEMANGIOMAS WITHOUT NEUROLOGICAL DEFICIT

Özet

Objective: The most common benign neoplasms of the spine are vertebral hemangiomas (VH). This study aims to demonstrate the safety of radiofrequency (RF) ablation plus vertebroplasty in the treatment of VHs. Materials and Methods: The records of patients who underwent percutaneous RF ablation and vertebroplasty for the treatment of symptomatic VH between 2016 and 2018 were retrospectively reviewed and included in this study. The visual analogue scale (VAS) was used to measure the pain immediately after the procedure and in the first and sixth postoperative months. Results: The average follow-up period was 23.6 months. The average duration of the procedure was 45.7 min. VAS score with activity was 5.29±1.2 before the operation and improved to 2.14±1.3 immediately after the operative (p=0.0309). It was 0.7±0.3 in the first month and 0.3±0.2 in the sixth month postoperatively (p=0.0010). Conclusion: Although only 1% of all VHs become symptomatic, symptomatic VHs cause disability during daily life. RF ablation plus vertebroplasty can be used separately in the treatment of symptomatic VHs.