Evidence map›Paper›PMID 36980472›Full record

ReviewDiagnostics (Basel, Switzerland)2023

Radiofrequency Ablation in Vertebral Body Metastasis with and without Percutaneous Cement Augmentation: A Systematic Review Addressing the Need for SPINE Stability Evaluation.

Stefano Colonna, Andrea Bianconi, Fabio Cofano, Alessandro Prior, Giuseppe Di Perna, Giuseppe Palmieri, Gianluigi Zona, Diego Garbossa, Pietro Fiaschi

Open access · goldFull text readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Stefano ColonnaSection of Neurosurgery, Department of Neuroscience, AOU Città della Salute e della Scienza, University of Turin, Corso Bramante 88/90, 10126 Turin, Italy.
Andrea BianconiSection of Neurosurgery, Department of Neuroscience, AOU Città della Salute e della Scienza, University of Turin, Corso Bramante 88/90, 10126 Turin, Italy.ORCID 0000-0002-1014-0731
Fabio CofanoSection of Neurosurgery, Department of Neuroscience, AOU Città della Salute e della Scienza, University of Turin, Corso Bramante 88/90, 10126 Turin, Italy.
Alessandro PriorSection of Neurosurgery, Department of Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili, IRCCS Policlinico San Martino, University of Geneva, Largo Rosanna Benzi, 10, 16132 Genova, Italy.ORCID 0000-0003-2995-8709
Giuseppe Di PernaUnità di Chirurgia Vertebrale, Casa di Cura Città di Bra, 12042 Cuneo, Italy.ORCID 0000-0002-7381-9194
Giuseppe PalmieriSection of Neurosurgery, Department of Neuroscience, AOU Città della Salute e della Scienza, University of Turin, Corso Bramante 88/90, 10126 Turin, Italy.
Gianluigi ZonaSection of Neurosurgery, Department of Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili, IRCCS Policlinico San Martino, University of Geneva, Largo Rosanna Benzi, 10, 16132 Genova, Italy.
Diego GarbossaSection of Neurosurgery, Department of Neuroscience, AOU Città della Salute e della Scienza, University of Turin, Corso Bramante 88/90, 10126 Turin, Italy.ORCID 0000-0002-2692-7133
Pietro FiaschiSection of Neurosurgery, Department of Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili, IRCCS Policlinico San Martino, University of Geneva, Largo Rosanna Benzi, 10, 16132 Genova, Italy.ORCID 0000-0002-6034-5524
University of Turin · ITOspedale Policlinico San Martino · ITCasa di Cura Città di Roma · ITOspedale Humanitas Gradenigo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vertebral body metastases (VBM) are one of the most frequent sites of bone metastasis, and their adequate therapeutic management still represents an insidious challenge for both oncologists and surgeons. A possible alternative treatment for VBM is radiofrequency ablation (RFA), a percutaneous technique in which an alternating current is delivered to the tumor lesion producing local heating and consequent necrosis. However, RFA alone could alter the biomechanics and microanatomy of the vertebral body, thus increasing the risk of post-procedure vertebral fractures and spine instability, and indeed the aim of the present study is to investigate the effects of RFA on spine stability. A systematic review according to PRISMA-P guidelines was performed, and 17 papers were selected for the systematic review. The results show how RFA is an effective, safe, and feasible alternative to conventional radiotherapy for the treatment of VBM without indication for surgery, but spine stability is a major issue in this context. Although exerting undeniable benefits on pain control and local tumor recurrence, RFA alone increases the risk of spine instability and consequent vertebral body fractures and collapses. Concomitant safe and feasible therapeutic strategies such as percutaneous vertebroplasty and kyphoplasty have shown synergic positive effects on back pain and improvement in spine stability.

Indexed as

kyphoplastyradiofrequency ablationspine stabilitythermal ablationvertebral metastasesvertebroplasty

Identifiers

PMID36980472
PMCPMC10046948
OpenAlexW4327972789

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read11
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.