Vertebroplasty of Cervical Vertebra

Abstract

SummaryBackgroundThe first vertebroplasty was performed by Harve Deramond in France in 1984 due to a hemangioma of cervical vertebral body. Procedure technique consisted of inserting a needle through the bony palate of the oral cavity. Bone cement injected under pressure not only fills the areas of bone loss. The heat released in the process of crystallization causes denaturation of pathological tissue proteins (metastasis) and disrupts blood supply (hemangiomas). The aim of this study was to evaluate the method of treatment from anterolateral access.Material/MethodsIn the years 2007–2012 the procedure was performed in 6 men and 9 women aged from 42 to 71 years (mean age: 56.3 years). In 10 cases the reason for vertebroplasty was the vertebral hemangioma, in another 4 – pathological vertebral fractures due to metastases, and in one case – multiple myeloma. Procedures were performed from anterolateral access, under local anesthesia, under x-ray guidance (fluoroscopy). Bone needle was inserted into the vertebral body, followed by injection of PMMA cement.ResultsIn 100% cases pain relief was observed immediately after the procedure and beneficial therapeutic effect was obtained. No life-threatening complications and clinical symptoms were observed. Average length hospital stay amounted to 2.9 days.ConclusionsCervical spine vertebroplasty from anterolateral access seems to be a safe, effective and beneficial method of treatment. It reduces the risk of infection in comparison to the transoral method.

Open vertebroplasty for cervical spine aggressive hemangioma

“…Установка пункционной иглы и последующее введение костного композита осуществляется исключительно под рентгенологическим контролем с использованием интраоперационной КТ. Однако зачастую при отсутствии КТ-установок используют ЭОП, который не позволяет в полной мере визуализировать пораженный позвонок, что, в свою очередь, при проведении пункционной вертебропластики повышает риск развития ятрогенных осложнений [14,15]. Для вертебропластики тел С 2 и С 3 позвонков может быть использован трансоральный доступ [12], ана-томическим обоснованием которого является близость расположения глотки, а также тел С 2 и С 3 позвонков, снижение вероятности повреждения близлежащих анатомических структур, но данный доступ осуществляется в первично-контаминированной зоне, и при этом есть определенное ограничение по использованию спе- [19].…”

Cause Analysis of Open Surgery Used After Percutaneous Vertebroplasty and Kyphoplasty

“…At present, there have been few reports of open surgery for SCI or NRI caused by PV and PK [ 11 ]. In the present study we analyzed the causes and calculated incidence of SCI or NRI caused by PV and PK.…”