Treatment of vertebral hemangioma with percutaneous vertebroplasty / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 643-646, 2004.
Article
in Chinese
| WPRIM
| ID: wpr-343791
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the efficacy of percutaneous vertebroplasty in the treatment of vertebral hemangioma.</p><p><b>METHODS</b>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.</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSION</b>Treatment of vertebral hemangioma with percutaneous vertebroplasty is safe and effective with minimal invasion.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Neoplasms
/
General Surgery
/
Thoracic Vertebrae
/
Pain Measurement
/
Cervical Vertebrae
/
Follow-Up Studies
/
Orthopedic Procedures
/
Hemangioma
/
Lumbar Vertebrae
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Acta Academiae Medicinae Sinicae
Year:
2004
Type:
Article
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