A, A 71-year-old woman with undifferentiated cancer and a lesion at L4. A, A 71-year-old woman with undifferentiated cancer and a lesion at L4. B and C, A void is created in the vertebral body by debulking the spinal tumor using the plasma radio-frequency–based wand before vertebral body augmentation with bone cement. D–F, Axial (D and E) and sagittal (F) views by using MR imaging show excellent anterior placement of bone cement. B.A. Georgy AJNR Am J Neuroradiol 2008;29:1605-1611 ©2008 by American Society of Neuroradiology