Role of unilateral percutaneous cervical cordotomy in the treatment of neoplastic vertebral pain.
The present study is a long-term report on 69 patients undergoing unilateral percutaneous cervical cordotomy for vertebral pain due to neoplastic bone metastases. The pain was unilateral or bilateral and was characterised by a chronic and/or an incident component. Seventy-one per cent (49/69) of the patients benefitted from the operation, obtaining complete, lasting pain relief or a reduced degree of pain, amenable to control by medication with narcotic or non-narcotic drugs. There was a survival Q(50%) of 5 months (S.E. = 1.6) with no pain and a satisfactory quality of life.
D002818:Cordotomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010148:Intractable Pain / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D010166:Palliative Care; D011183:Postoperative Complications; D013125:Spinal Neoplasms / Q000150:complications* / Q000556:secondary