Fig 1. A, Axial CT scans show a large degree of cortical disruption in a 70-year-old man with metastatic colon cancer.

B and C, The SpineWand device was inserted into the cannula to perform the tissue ablation; the clinician is capable of ablating tissue in a superior or inferior lateral direction.

D, In this patient, 2 10-mm Kyphon balloons were inserted to obtain hemostasis while preparing the bone cement. A myelogram was performed to clearly delineate the posterior cortical margin.

E, The axial CT scans collected immediately after the procedure showed that cement was cleanly deposited in the ablated tumor void with no posterior extraosseous extension of cement.