Combined use of SpineJack and microwave ablation with CT and C-arm in the treatment of vertebral fractures in oncologic patients: a case- based technical note

This technical report highlights the combined treatment of bone metastasis using CT imaging and C-arm f luoroscopy to guide microwave thermal ablation and the SpineJack system. The integration of these imaging techniques was crucial for achieving local tumor control and restoring vertebral stability...

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Detalles Bibliográficos
Autores: Pusceddu, Claudio, Morera Fuster, Isabel, Ares-Vidal, Jesús, Lafuente Baraza, Jesús, Rodríguez Rubio, David, Maiques Llácer, José María, Faiella, Eliodoro, Cau, Claudio, Rinaldi, Pierluigi, Solano López , Albert, Marsico, Salvatore
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:dnet:rdupf_______::cf986a9afd9d9bf54d3951df0da4249f
Acceso en línea:https://hdl.handle.net/10230/73121
http://dx.doi.org/10.1093/omcr/omaf019
Access Level:acceso abierto
Palabra clave:C-arm fluoroscopy
CT imaging
SpineJack
Bone metastasis
Lung cancer
Microwave ablation
Vertebral stabilization
Descripción
Sumario:This technical report highlights the combined treatment of bone metastasis using CT imaging and C-arm f luoroscopy to guide microwave thermal ablation and the SpineJack system. The integration of these imaging techniques was crucial for achieving local tumor control and restoring vertebral stability in cases of pathological fractures associated with metastatic disease. CT imaging ensured accurate tumor volume measurement and ablation, safe needle placement, and secure positioning of protective devices, while C-arm f luoroscopy provided real-time guidance for the correct positioning of the SpineJack implants, monitoring their expansion, and ensuring controlled cement application. Although the combination of these techniques has been increasingly utilized, this is the first detailed report to focus on their combined use in treating pathological fractures within a metastatic setting.