Hemangiomas of vertebrae: treatment methods and results.
Keywords:
vertebral hemangiomas, treatment methods, the results of treatment.Abstract
Analyzed 83 patients during 1950 — 2001 years. The 37 patients operated (34 — open surgery, 1 — combined transvasal and open surgery, 2 — percutaneous vertebroplasty). Among open surgical intervention — 2 were transthoracic, other — utilized posterior approaches. In 2 patients intervention accomplished spinal instrumentation. In 6 patients we used vertebroplasty during open surgery. The 29 patients irradiated, 17 — following with observation or medical treatment. The one surgery resulted in cord decompression, 22 — partial removal, 5 — subtotal, 8 — total removal or hemangioma obliteration. In 14 patients we observed no neurological improvement, 18 — partial improvement, 3 complete regression neurological signs. The follow up obtained in 16 operated patients. We concluded that treatment method must have been depending from hemangiomas aggressiveness, cord compression. The long—term result depends of tumor resection radicalism.References
Bas T., Aparisi F., Bas J.L. Efficacy and safety of ethanol injections in 18 cases of vertebral hemangioma: a mean follow-up of 2 years // Spine. — 2001. — V.26, №14. — P. 1577—1582.
Castel E., Lazennec J.Y., Chiras J., Enkaoua E., Saillant G. Acute spinal cord compression due to intraspinal bleeding from a vertebral hemangioma: two case—reports // Europe Spine. J.— 1999. — V.8, №3. — P. 244—248.
Chiras J., Depriester C., Weill A., Sola—Martinez M.T., Deramond H. Percutaneous vertebral surgery. Technics and indications // J. Neuroradiol. — 1997. — V24, №1. — P.45—59.
Doppman J.L., Oldfield E.H., Heiss J.D. Symptomatic vertebral hemangiomas: treatment by means of direct intralesional injection of ethanol // Radiology. — 2000. — V.214, №2. — P.341—348.
Fox M.W., Onofrio B.M. The natural history and management of symptomatic and asymptomatic vertebral hemangiomas // J. Neurosurg. — 1993. — V.78. — P.36—45.
Guelbenzu S., Gomez J., Garcia—Asensio S., Barrena R., Ferrandez D. Preoperative percutaneous vertebroplasty in hemangioma compression // Rev. Neurol. — 1999. —V. 28, №4. — P. 397—400.
Heini P.F., Berlemann U. Bone substitutes in vertebroplasty // Eur. Spine J. — 2001. — V.10, Suppl. 2. — P.205—213.
Hernigou P., Djindjian M., Ricolfi F. Neuro-aggressive dorsal vertebral hemangioma and vertebrectomy. Apropos of 2 cases. Review of the literature // Rev. Chir. Orthop. Reparatrice. Appar. Mot. — 1994. — V.80. — P.542—550.
Heyd R., Strassmann G., Filipowicz I., Borowsky K., Martin T., Zamboglou N. Radiotherapy in vertebral hemangioma // Rontgenpraxis. — 2001. — V.53, №5. — P.208—220.
Hitchon P.W., Goel V., Drake J., Taggard D., Brenton M., Rogge T., Torner J.C. Comparison of the biomechanics of hydroxyapatite and polymethylmethacrylate vertebroplasty in a cadaveric spinal compression fracture model // J. Neurosurg. — 2001. — V.95, Suppl. 2. — P.215—220.
Levine S.A., Perin L.A., Hayes D., Hayes W.S. An evidence-based evaluation of percutaneous vertebroplasty // Manag. Care. — 2000. — V. 9, №3. — P.56—60.
McGraw J.K., Strnad B.T., Patzik S.B., Silber J.S., LaValley A.L., Boorstein J.M. Carbon dioxide and gadopentetate dimeglumine venography to guide percutaneous vertebroplasty // Cardiovasc. Intervent. Radiol. —2000. — V. 23, №6. — P. 485—487.
Miszczyk L., Ficek K., Trela K., Spindel J. The efficacy of radiotherapy for vertebral hemangiomas // Neoplasma. — 2001. — V.48, №1. — P.82—84.
Nguyen J.P., Djindjian M., Badiane S. Vertebral hemangioma with neurologic signs / Clinical presentation, results of a survey by the french society of neurosurgery // Neurochirurgie. — 1989. —V.35. — P.270—274.
Smith T.P., Koci T., Mehringer C.M., Tsai F.Y., Fraser K.W., Dowd C.F., Higashida R.T., Halbach V.V., Hieshima G.B. Transarterial embolization of vertebral hemangioma //J. Vasc. Interv. Radiol.— 1993. — V. 4, №5. — P.681—685.
Yung B.C., Loke T.K., Yuen N.W., Chan C.C. Spinal cord compression caused by thoracic vertebral hemangioma involving only the posterior elements of two contiguous vertebrae // Skeletal Radiol.— 1998. — V.27, №3. — P.169—172.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2002 Y. I. Slinko
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
