[Treatment of vertebral hemangioma with percutaneous vertebroplasty].

Abstract

OBJECTIVE:

To investigate the efficacy of percutaneous vertebroplasty in the treatment of vertebral hemangioma.

METHODS:

Seven patients with vertebral hemangiomas were treated by percutaneous vertebroplasty, including one case of cervical, three cases of thoracic, and three cases of lumbar hemangiomas. The average score of the 6-point behavioral pain rating scale was 2.67 +/- 0.41, and the average score of ambulation was 2.83 +/- 0.33. Guilty vertebral bodies were orientated with fluoroscopy. The procedures were performed under local anesthesia. The image features were also analyzed. Unipedicular or bipedicular approaches were used in 6 cases of thoracic and lumbar hemangiomas. The cervical anterior-lateral approach was adopted in one case of cervical hemangioma. 4-7 ml of 15%-20% bone cement was mixed and injected into the vertebral body to form a cast in the lesions. Re-examination of clinical symptoms, plain film, and CT were made for 1, 3, and 9 months of post-procedure follow-up.

RESULTS:

Good results were achieved in all the seven cases. Pain was completely relieved in 5 cases and partially relieved in 2 cases. Symptom was also recovered in 2 patients with radiculopathy. No recurrence was found after 1-9 months of postoperative follow-up.

CONCLUSION:

Treatment of vertebral hemangioma with percutaneous vertebroplasty is safe and effective with minimal invasion.

• Authors: Xin-Jian Yang, Zhong-Xue Wu, Jun-Feng Zhao, You-Ping Zhang, Lei Song, Hong-Wei He, Xin Lin
• Journal: Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae (Zhongguo Yi Xue Ke Xue Yuan Xue Bao) Vol. 26 Issue 6 Pg. 643-6 (Dec 2004) ISSN: 1000-503X [Print] China
• PMID: 15663224 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Cervical Vertebrae (surgery)
• Female
• Follow-Up Studies
• Hemangioma (surgery)
• Humans
• Lumbar Vertebrae (surgery)
• Male
• Middle Aged
• Orthopedic Procedures (methods)
• Pain Measurement
• Spinal Neoplasms (surgery)
• Thoracic Vertebrae (surgery)