학술논문
[Neuro-aggressive dorsal vertebral hemangioma and vertebrectomy. Apropos of 2 cases. Review of the literature].
Document Type
Academic Journal
Author
Hernigou P; Service de chirurgie orthopédique, Hôpital Henri Mondor, Créteil.; Djindjian M; Ricolfi F; Dahhan P
Source
Publisher: Elsevier Masson Editeur Country of Publication: France NLM ID: 1272427 Publication Model: Print Cited Medium: Print ISSN: 0035-1040 (Print) Linking ISSN: 00351040 NLM ISO Abbreviation: Rev Chir Orthop Reparatrice Appar Mot Subsets: MEDLINE
Subject
Language
French
ISSN
0035-1040
Abstract
Purpose of Study: Vertebral hemangioma is a benign and relatively frequent lesion. It is rarely associated with medullary compression. Two cases of vertebral hemangioma with progressive neurologic deficit are presented.
Methods and Results: Successful treatment was accomplished using pre-operative embolization and vertebrectomy. The tumor was resected by an antero-lateral transthoracic and posterior approach.
Discussion: The technique of operative management and complications are discussed. Based on these two patients and a review of the literature, the authors recommend that management of patients with progressive neurological deficit should include pre-operative angiography and embolization, decompressive surgery with the approach determined by the degree of vertebral involvement and site of spinal compression.
Methods and Results: Successful treatment was accomplished using pre-operative embolization and vertebrectomy. The tumor was resected by an antero-lateral transthoracic and posterior approach.
Discussion: The technique of operative management and complications are discussed. Based on these two patients and a review of the literature, the authors recommend that management of patients with progressive neurological deficit should include pre-operative angiography and embolization, decompressive surgery with the approach determined by the degree of vertebral involvement and site of spinal compression.