Transoral vertebroplasty for a C2 aneurysmal bone cyst

Brage, Liberto; Roldán, Héctor; Plata‐Bello, Julio; Martel, D.; Garcı́a-Marı́n, Vı́ctor

doi:10.1016/j.spinee.2016.02.042

Cited by 12 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The average surgery time of 46 minutes for single-level vertebroplasty is slightly lower than that described in the literature: Floeth et al reported a surgery time of 51 minutes; Cianfoni et al, 60 minutes; Kordecki et al, 67 minutes; and Brage et al, using a transoral approach, 90 minutes. 7,10,18,25 Comparable data do not exist for multilevel vertebroplasty and vertebroplasty with an odontoid screw; our average surgery times for the respective procedures were 53 and 66 minutes. Compared with the far more invasive and elaborate vertebrectomy with vertebral body replacement, which may have been an alternative because of the large bony defects encountered, these times still represent a relatively short period for the procedure.…”

Section: Discussionmentioning

confidence: 88%

“…For the atlas and axis vertebrae, transoral, posterolateral, anterior retropharyngeal, and even percutaneous transdiscal approaches have been used for vertebroplasty. 7,10,12,13,39,53 The standard anterolateral Smith-Robinson approach that we used represents secure surgical access to the anterior cervical spine and has the advantage of an initial incision of approximately 2-3 cm that can be easily extended to reach more than 1 or 2 cervical vertebrae. Vertebrae C-2 to T-1 can be easily reached via this anterior approach.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cervical vertebroplasty for osteolytic metastases as a minimally invasive therapeutic option in oncological surgery: outcome in 14 cases

Stangenberg

Viezens²,

Eicker

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVEThe treatment of cervical spinal metastases represents a controversial issue regarding the type, extent, and invasiveness of interventions. In the lumbar and thoracic spine, kypho- and vertebroplasties have been established as minimally invasive procedures for patients with metastases to the vertebral bodies and without neurological deficit. These procedures show good results with respect to pain reduction and low complication rates. However, limited data are available for kypho- and vertebroplasties for cervical spinal metastases. In an effort to add to existing data, the authors here present a case series of 14 patients who were treated for osteolytic metastases of the cervical spine using vertebroplasty alone or in addition to another surgical procedure involving the cervical spine in a palliative setting to reduce pain and restore stability.METHODSFourteen patients consisting of 8 males and 6 females, with a mean age of 64.7 years (range 44–85 years), were treated with vertebroplasty at the authors’ clinic between January 2015 and November 2016. In total, 25 vertebrae were treated with vertebroplasty: 10 C-2, 5 C-3, 2 C-4, 2 C-5, 3 C-6, and 3 C-7. Two patients had an additional posterior stabilization and 5 patients an additional anterior stabilization. In 13 cases, the surgical approach was a modified Smith-Robinson approach; in 1 case, the cement was injected into the corpus axis from posteriorly. Patients with osteolytic defects of the posterior wall of the vertebral body did not undergo surgery, nor did patients with neurological deficits. Preoperatively, on the 2nd day after surgery, and at the follow-up, neck pain was rated using the visual analog scale (VAS).RESULTSTwelve patients were examined at follow-up (mean 9 months). Neck pain was rated as a mean of 6.0 (range 3–8) preoperatively, 2.9 on Day 2 after surgery (range 0–5), and 0.5 at the follow-up (range 0–4), according to the VAS. The mean Neck Disability Index at follow-up was 3.6% (range 0%–18%).CONCLUSIONSAnterior vertebroplasty of the cervical spine via an anterolateral approach represents a safe and minimally invasive procedure with a low complication rate and appears suitable for reducing pain and restoring stability in cases of cervical spinal metastases. Vertebroplasties can be combined with other anterior and posterior operations of the cervical spine and, in the axis vertebra, can be performed transpedicularly from posteriorly. Thus, in cases in which the posterior wall of the vertebral body is intact, vertebroplasty represents a less invasive alternative to vertebral replacement in oncological surgery. Prospective randomized trials with a longer follow-up period and a larger patient cohort are needed to confirm the encouraging results of this case series.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Cervical vertebroplasty for osteolytic metastases as a minimally invasive therapeutic option in oncological surgery: outcome in 14 cases

Stangenberg

Viezens²,

Eicker

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

show abstract

“…Other groups have also performed minimally invasive therapies for ABCs. These include transoral vertebroplasty for a C2 lesion, 10 chemotherapy, thermal ablation and selective arterial embolization. 11–13 There is a single case report that also describes the use of doxycycline for treatment of a recurrent C2/C3 ABC.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary management of spinal aneurysmal bone cysts: A single-center experience

et al. 2019

View full text Add to dashboard Cite

Objective The management of spinal aneurysmal bone cysts (ABCs) is complex and often requires multimodality therapy, including surgical intervention to stabilize the axial skeleton, and avoid neurologic injury or death. With en bloc resection, ABCs have a recurrence rate of 12%, which increases to >50% with subtotal resection. The use of doxycycline sclerotherapy has been reported to reduce the recurrence rate of non-spinal ABCs to 5% at >24 month follow-up. We retrospectively reviewed our institutional results for sodium tetradecyl sulfate (STS)/doxycycline sclerotherapy and surgical intervention for spinal ABCs, to assess our treatment paradigm for these tumors and inform our future approach to these lesions. Methods Three cervical, two thoracic and two lumbar spine ABCs were treated in seven patients with spine-exclusive disease at our institution from 2011 to the present. The most common presenting complaint was pain. Each patient was retrospectively reviewed for clinical symptomology, number of treatments, technique and clinical follow-up. Qualitative assessment of improvement was based on the most recent clinical evaluation. Results The cohort underwent a mean of three treatment sessions (range 2–15). All were treated with STS and/or doxycycline. Five patients underwent surgical intervention at some point, either before or following sclerotherapy. After the last sclerotherapy session, four patients reported stable or improved pain symptoms, while two reported progressive pain that required surgical intervention for that indication. One patient, who underwent both multiple rounds of sclerotherapy and surgical resection, died due to acute on chronic cervical spine collapse with cord compression and inability to control disease. Conclusion We report our experience in the treatment of spinal column ABCs. Stabilization or improvement in pain was seen in four patients, while the remainder had progressive disease. Our multidisciplinary approach allows patients to receive the most appropriate treatment at presentation and thereafter, for symptom amelioration or spinal stability. Important future goals are to quantitatively assess changes in symptoms over time and to incorporate a reproducible radiographic endpoint for the assessment of treatment efficacy.

show abstract

“…Infection rates for open transoral procedures vary widely from 0.1% to 13% 9,12,16) . However, to our best knowledge, no case of surgical site infection related to transoral VP or kyphoplasty has been reported previously 1,4,6,10,11,[13][14][15]17) . Transoral VP has a lower risk of infection due to minimizing tissue disruption by using the relatively fine needle 1,6,17) .…”

Section: Discussionmentioning

confidence: 99%

Transoral Vertebroplasty for Osteolytic C2 Metastasis: Report of 2 Cases

Kim

Yoon

Kwon

et al. 2019

Nerve

View full text Add to dashboard Cite

Herein we reported 2 cases of vertebroplasty (VP) via the transoral route for osteolytic painful odontoid (C2) metastasis from non-small cell lung cancer. A 52-year-old man, who was diagnosed with non-small cell lung cancer a year ago, presented neck pain, which was aggravated on swallowing in September, 2015. Neuroimaging revealed osteolytic metastasis of C2 with atlanto-axial joint invasion and of C4 without compression. The metastatic cancer of multiple bone and soft tissues progressed despite the chemotherapy; hence, minimally invasive palliative therapy was needed for immediate relief of the patient's pain. Another patient, 54-year-old man, also diagnosed non-small cell lung cancer revealed neck pain in May, 2018. He had stopped systemic chemotherapy 6 months ago due to lack of effective available regimen and received stereotactic radiosurgery for multiple brain metastases 3 months ago. Spinal computed tomography revealed C2 osteolytic lesion and we performed transoral VP for pain control. Based on our experience, transoral VP for C2 osteolytic metastasis could be performed safely and resulted in significant and immediate pain relief.

show abstract

Transoral vertebroplasty for a C2 aneurysmal bone cyst

Cited by 12 publications

References 27 publications

Cervical vertebroplasty for osteolytic metastases as a minimally invasive therapeutic option in oncological surgery: outcome in 14 cases

Cervical vertebroplasty for osteolytic metastases as a minimally invasive therapeutic option in oncological surgery: outcome in 14 cases

Multidisciplinary management of spinal aneurysmal bone cysts: A single-center experience

Transoral Vertebroplasty for Osteolytic C2 Metastasis: Report of 2 Cases

Contact Info

Product

Resources

About