BackTable / MSK / Podcast / Episode #63
Bone Tumor Ablation: Techniques & Inisghts
with Dr. Glade Roper
Spine metastases are often painful and can impair a patient's ability to lie flat for radiation therapy. However, radiofrequency ablation (RFA) can address the bulk of the tumor and provide significant pain relief, enabling the patient to undergo radiation therapy. In this episode of BackTable MSK, musculoskeletal radiologist Dr. Glade Roper discusses his experience with spinal tumor RFA, his role on a multidisciplinary oncology team, and key considerations when planning for ablation.
This podcast is supported by an educational grant from Medtronic.

BackTable, LLC (Producer). (2024, December 17). Ep. 63 – Bone Tumor Ablation: Techniques & Inisghts [Audio podcast]. Retrieved from https://www.backtable.com
Stay Up To Date
Follow:
Subscribe:
Sign Up:
Podcast Contributors
Synopsis
Dr. Roper emphasizes that RFA should be viewed as an adjunct to radiation therapy rather than a replacement. He reviews the procedural steps for RFA and explains the basic mechanisms of the device. Additionally, Dr. Roper shares his experience with placing intrathecal pain pumps post-ablation to manage residual pain. Finally, he offers advice on patient and caregiver education, focusing on how to deliver comprehensive, easily understandable information.
Timestamps
00:00 - Introduction
01:57 - Building Relationships with Radiation Oncologists
01:42 - Overview of Bone Tumor Ablation
06:23 - Pre-Procedural Considerations
09:13 - The Role of Pain Pumps
14:04 - Stepwise Patient Education
19:57 - Procedural Technique
Resources
OPuS One Study:
https://pubmed.ncbi.nlm.nih.gov/33129427/
BackTable VI Ep. 211- Extra-Spinal Augmentation & The Future of Vertebral Augmentation:
https://www.backtable.com/shows/vi/podcasts/211/extraspinal-augmentation-the-future-of-vertebral-augmentation
Transcript Preview
[Dr. Glade Roper]
Ablation won’t kill the entire tumor, but it will help relieve the pain. Here’s the way I explain it to patients: if you have a weight-bearing wall in your house and it’s filled with termites, I will rip out that beam and put in cement. However, you still need to fumigate, and that’s where the systemic oncology treatments come in.
Medtronic was not involved in the creation or delivery of any program content and does not control whether the materials conform to an FDA approved or cleared indication.
The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.