Section of the Anterolateral Columns of the Spinal Cord for the Relief of Pain

17. Cancer Pain: Part I: Cordotomy for Unilateral Pain due to Cancer

“…With the evolution of imaging techniques, radiofrequency electrodes and radiofrequency lesion generators, percutaneous cordotomy became more precision-based, utilizing thermal lesions to target the spinothalamic tract. Imaging techniques were employed for accurate anatomical positioning of the needle, while electrophysiological testing enabled verification of the probe's placement within the correct tract in the spinal cord (Table 1) [2][3][4][5][6][7]. Continuous advancements in materials, imaging technology, monitoring, and our understanding of the underlying electrophysiology have contributed to improved outcomes.…”

“…Ancillary tests should be done on an as needed basis including a coagulation panel in those at high risk of bleeding, and a complete blood count to rule out infection and chemotherapybased bleeding disorders. Mullan [3] 1964 First use of radiofrequency electrode…”

17. Cancer Pain: Part I: Cordotomy for Unilateral Pain due to Cancer

“…With the evolution of imaging techniques, radiofrequency electrodes and radiofrequency lesion generators, percutaneous cordotomy became more precision-based, utilizing thermal lesions to target the spinothalamic tract. Imaging techniques were employed for accurate anatomical positioning of the needle, while electrophysiological testing enabled verification of the probe's placement within the correct tract in the spinal cord (Table 1) [2][3][4][5][6][7]. Continuous advancements in materials, imaging technology, monitoring, and our understanding of the underlying electrophysiology have contributed to improved outcomes.…”

“…Ancillary tests should be done on an as needed basis including a coagulation panel in those at high risk of bleeding, and a complete blood count to rule out infection and chemotherapybased bleeding disorders. Mullan [3] 1964 First use of radiofrequency electrode…”

Cordotomy for Intractable Cancer Pain: A Historical and Technical Narrative Review with Modern Perspectives

“…He performed an open cordotomy at the level of the 6th–8th thoracic level, achieving good pain relief [9]. Next, during the 1920s, several other authors reported their experience with open cordotomy, utilizing a similar technique, with variable but mostly satisfactory clinical responses [10‒13]. After these publications, cordotomy was accepted as an effective surgical procedure for relief of severe localized unilateral pain [14].…”

17. Cancer Pain: Part I: Cordotomy for Unilateral Pain due to Cancer

“…With the evolution of imaging techniques, radiofrequency electrodes and radiofrequency lesion generators, percutaneous cordotomy became more precision-based, utilizing thermal lesions to target the spinothalamic tract. Imaging techniques were employed for accurate anatomical positioning of the needle, while electrophysiological testing enabled verification of the probe's placement within the correct tract in the spinal cord (Table 1) [2][3][4][5][6][7]. Continuous advancements in materials, imaging technology, monitoring, and our understanding of the underlying electrophysiology have contributed to improved outcomes.…”

“…Ancillary tests should be done on an as needed basis including a coagulation panel in those at high risk of bleeding, and a complete blood count to rule out infection and chemotherapybased bleeding disorders. Mullan [3] 1964 First use of radiofrequency electrode…”

Cordotomy for Intractable Cancer Pain: A Historical and Technical Narrative Review with Modern Perspectives

“…He performed an open cordotomy at the level of the 6th–8th thoracic level, achieving good pain relief [9]. Next, during the 1920s, several other authors reported their experience with open cordotomy, utilizing a similar technique, with variable but mostly satisfactory clinical responses [10‒13]. After these publications, cordotomy was accepted as an effective surgical procedure for relief of severe localized unilateral pain [14].…”

17. Cancer Pain: Part I: Cordotomy for Unilateral Pain due to Cancer

“…With the evolution of imaging techniques, radiofrequency electrodes and radiofrequency lesion generators, percutaneous cordotomy became more precision-based, utilizing thermal lesions to target the spinothalamic tract. Imaging techniques were employed for accurate anatomical positioning of the needle, while electrophysiological testing enabled verification of the probe's placement within the correct tract in the spinal cord (Table 1) [2][3][4][5][6][7]. Continuous advancements in materials, imaging technology, monitoring, and our understanding of the underlying electrophysiology have contributed to improved outcomes.…”

“…Ancillary tests should be done on an as needed basis including a coagulation panel in those at high risk of bleeding, and a complete blood count to rule out infection and chemotherapybased bleeding disorders. Mullan [3] 1964 First use of radiofrequency electrode…”

Cordotomy for Intractable Cancer Pain: A Historical and Technical Narrative Review with Modern Perspectives

“…He performed an open cordotomy at the level of the 6th–8th thoracic level, achieving good pain relief [9]. Next, during the 1920s, several other authors reported their experience with open cordotomy, utilizing a similar technique, with variable but mostly satisfactory clinical responses [10‒13]. After these publications, cordotomy was accepted as an effective surgical procedure for relief of severe localized unilateral pain [14].…”