Neuroablative Procedures for Patients With Cancer Pain

Rhizotomy, both in its percutaneous radiofrequency (RF)/chemical and open surgical forms may be used to treat patients with unilateral body cancer pain and occasionally bilateral cancer pain, but outcomes such as sensory deficit (as a result of rhizotomy) and occasionally a motor or autonomic deficit (depending on the nerve(s) ablated) should be considered.

Cingulotomy may be used in patients with diffuse cancer pain associated with metastatic disease. Risks of postoperative cognitive and behavioral problems should be considered.