Bone cement vertebroplasty for symptomatic thoracic vertebral hemangioma

Yan Xiong-wei; Zhang Hong-yan

doi:10.3969/j.issn.2095-4344.2013.52.009

Abstract：BACKGROUND:Since percutaneous injection of bone cement vertebroplasty has been successful y used in treatment of spine fracture, percutaneous vertebroplasty is trying to be utilized in the treatment of vertebral hemangiomas. <br> OBJECTIVE:To evaluate the safety and effectiveness of percutaneous injection of bone cement vertebroplasty in the treatment of symptomatic vertebral hemangiomas. <br> METHODS:Total y nine patients with symptomatic thoracic vertebral hemangioma patients, including two males and seven females, had back pain. Of them, two cases suffered from nerve root irritation. Percutaneous vertebroplasty with bone cement was used alone. Postoperative clinical and radiographic fol ow-up was conducted. <br> RESULTS AND CONCLUSION:The success rate was 100%, and no pulmonary embolism or nerve injury appeared. Postoperative imaging showed no leakage of spinal canal or foramen. At 24 hours after treatment, the symptoms had eased;nine cases were fol owed up for 3 to 36 months, showing that the original symptoms and signs disappeared or almost disappeared, no recurrence of vascular tumors. Results indicated that the percutaneous injection of bone cement vertebroplasty for the treatment of symptomatic vertebral hemangiomas is a safe and effective treatment;it can not only relieve symptoms, but also can increase the stability of the vertebral body, and prevent compression fracture and recurrence.