Minimally invasive resection and vertebroplasty for an osteolytic C-1 metastasis of malignant meningioma: case report

Klingler, Jan-Helge; Krüger, Marie T.; Kogias, Evangelos; Brendecke, Stefanie M.; Hubbe, Ulrich; Scheiwe, Christian

doi:10.3171/2015.1.spine141041

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…It has been reported that prophylactic occlusion of the vertebral artery was used to avoid cement entering the vertebral artery. 20 However, this is not feasible if there are lesions in both lateral masses of the atlas.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Vertebroplasty for C1 Osteolytic Lesions via Lateral Approach Under Fluoroscopic Guidance

Yang

Tian

Wang

et al. 2021

JPR

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Objective: To report our experience of treating painful C1 osteolytic lesions with cement augmentation via a lateral approach under fluoroscopic guidance. Materials and Methods: Nine consecutive patients (eight men and one woman; mean age: 56.7±13.2 years) with osteolytic lesions of the atlas who underwent cementoplasty via a lateral approach were enrolled in this study. The technical success rate, operation time, and complications were recorded. Visual analogue scale (VAS) and Neck disability index (NDI) were used to evaluate the pain relief and neck function status pre-procedure (baseline) and post-procedure (at 3 days; after 1, 3, 6, 12, 18, and 24 months; and at the last follow-up). Results: The procedure was technically successful without any complications in all patients. The mean procedure time was 44.3±7.8 min. There were three cases of bone cement leakage, but no clinical symptoms. The mean VAS score decreased from 6.7±1.0 before the procedure to 3.7 three days after the procedure. The mean NDI score decreased from 67.3±11.2 before the procedure to 39.3±13.7 three days after the procedure. The VAS and NDI scores decreased at each follow-up time point, and the difference was statistically significant compared with the scores before the procedure (P<0.01). Conclusion: Fluoroscopy-guided lateral approach is a feasible, safe, and effective method for treatment of osteolytic lesions of the atlas and can relieve pain and stabilize the bone.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Vertebroplasty for C1 Osteolytic Lesions via Lateral Approach Under Fluoroscopic Guidance

Yang

Tian

Wang

et al. 2021

JPR

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“…The fact that many distinct specialties and journals were represented among the studies on this list is very interesting and supports the notion that spinal tumors are best treated in a multidisciplinary and multimodal fashion. 114 Advances in genetics-based treatments, 37 radiosurgery, 17 proton-beam therapy, 2,86 immunotherapy, 18 and minimally invasive surgery, 36,38,70,81 among others, will be an important part of the future of spinal oncology. Treatments involving wild-type neurofibromatosis 2 gene insertion, oncolytic viruses, and transfer of gene-silencing ribonucleic acid have all shown promising results in vitro for meningiomas.…”

Section: Discussionmentioning

confidence: 99%

The 100 most-cited articles in spinal oncology

Ramos

Benvenutti-Regato

Caro-Osorio

2016

SPI

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OBJECTIVE The authors' objective was to identify the 100 most-cited research articles in the field of spinal oncology. METHODS The Thomson Reuters Web of Science service was queried for the years 1864–2015 without language restrictions. Articles were sorted in descending order of the number of times they were cited by other studies, and all titles and abstracts were screened to identify the research areas of the top 100 articles. Levels of evidence were assigned on the basis of the North American Spine Society criteria. RESULTS The authors identified the 100 most-cited articles in spinal oncology, which collectively had been cited 20,771 times at the time of this writing. The oldest article on this top 100 list had been published in 1931, and the most recent in 2008; the most prolific decade was the 1990s, with 34 articles on this list having been published during that period. There were 4 studies with Level I evidence, 3 with Level II evidence, 9 with Level III evidence, 70 with Level IV evidence, and 2 with Level V evidence; levels of evidence were not assigned to 12 studies because they were not on therapeutic, prognostic, or diagnostic topics. Thirty-one unique journals contributed to the 100 articles, with the Journal of Neurosurgery contributing most of the articles (n = 25). The specialties covered included neurosurgery, orthopedic surgery, neurology, radiation oncology, and pathology. Sixty-seven articles reported clinical outcomes. The most common country of article origin was the United States (n = 62), followed by Canada (n = 8) and France (n = 7). The most common topics were spinal metastases (n = 35), intramedullary tumors (n = 18), chordoma (n = 17), intradural tumors (n = 7), vertebroplasty/kyphoplasty (n = 7), primary bone tumors (n = 6), and others (n = 10). One researcher had authored 6 studies on the top 100 list, and 7 authors had 3 studies each on this list. CONCLUSIONS This study identified the 100 most-cited research articles in the area of spinal oncology. The studies highlighted the multidisciplinary and multimodal nature of spinal tumor management. Recognition of historical articles may guide future spinal oncology research.

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“…They allow performing traditionally open procedures, such as microdiscectomy or spinal fusion, through percutaneous and endoscopic approaches extremely minimally invasive and atraumatic for the tissues. Moreover the association of minimally invasive techniques with the operative microscope allows the surgeon to minimize the tissue damage gaining optimal results in terms of outcome [1, 2]. …”

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confidence: 99%