We report percutaneous cryoablation of spine tumors in 7 consecutive patients (5 males, 2 females; mean age 47 years, range 17-68) using intraprocedural image monitoring of ice ball margins to protect adjacent neural elements. Complete tumor ablation was achieved in all patients without neurological complication. Pain relief was achieved in 4 of 5 (80%) patients; the patient with persistent pain was later found to have enlarging metastases at other sites.
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