SavedAdd your journal

Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 3

The evaluatıon of the effıcacy and safety of the surgıcal treatment of multı-level vertebral hemangıomas ınvaded to the spınal channel

Kord basısı oluşturan çok seviyeli vertebra hemanjiyomlarında cerrahi tedavinin etkinliği ve güvenirliğinin değerlendirilmesi

MEHMET FATİH KORKMAZ
Kaya SARAÇ
MUSTAFA KARAKAPLAN
Gökay GÖRMELİ
MEHMET NURİ ERDEM
ENGİN BURAK SELÇUK
Pages
211–218
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

If the principles of multidisciplinary treatment were applied accu- rately, it can be treated safely with the surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this study, different levels of spinal cord compression are multiple vertebral hemangiomas were offered a 69-year-old woman.
📊
Key Findings & Data:T12 vertebral compression fractures due to posterior surgery and asymptomatic last 5 years, followed by 4 months of back pain in the lower limbs progressive loss of strength and difficulty in walking, four weeks, urinary and fecal inconti- nence was present.
💡
Conclusion & Impact:If the principles of multidisciplinary treatment were applied accu- rately, it can be treated safely with the surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In this study, different levels of spinal cord compression are multiple vertebral hemangiomas were offered a 69-year-old woman. T12 vertebral compression fractures due to posterior surgery and asymptomatic last 5 years, followed by 4 months of back pain in the lower limbs progressive loss of strength and difficulty in walking, four weeks, urinary and fecal inconti- nence was present. Thoracic and lumbar magnetic resonance imaging (MRI) multiple thoracic and lumbar vertebral heman- giomas were seen. T10 and L4 extraossous extension of the hemangioma was causing cord compression. Selective em- bolization was performed preoperatively and in the presence of cord neuromonitorization T10 corpectomy and anterior decompression of the L4 is PVC (Posterior vertebral column resection) was achieved with the 18-month interval. Postop- erative radiotherapy was done. The patient’s neurological con- dition improved rapidly after surgery and neurologically intact and was able to walk independently. Vertebral hemangiomas could cause a serious and progressive cord compression. If the principles of multidisciplinary treatment were applied accu- rately, it can be treated safely with the surgery.

Özet

Bu çalışmada farklı düzeylerde spinal kord basısı yapan birden fazla vertebra hemanjiomları olan 69 yaşındaki kadın sunuldu. T12 vertebra çökme kırığı nedeniyle posterior cerrahi uygulanmış ve asemptomatik geçen 5 yılın ardından 4 aydır bel ağrısı, alt ekstremitelerde ilerleyici güç kaybı ve yürüme güçlüğü, 4 haftadır idrar ve gaita inkontinansı mevcuttu. Torakal ve lomber Manyetik Rezonans Görüntülemede (MRG ) birden fazla torakal ve lomber vertebra hemanjiomları görüldü. T10 ve L4 de hemanjiom ekstraossöz uzantısı kord basısına neden oluyordu. Seçici embolizasyonlar preoperatif yapıldı ve nöromonitörizasyon eşliğinde kordun dekompresyonu anterior T10 korpektomi ile ve L4 PVCR (Posterior Vertebral Kolon Rezeksiyonu) ile 18 ay arayla sağlandı. Postoperatif radyoterapi uygulandı. Hastanın nörolojik durumu ameliyat sonrası hızla düzeldi ve nörolojik olarak sağlam ve bağımsız olarak yürüyebildi. Vertebra hemanjiyomları ciddi ilerleyici kord basısı nedeni olabilirler. Multidisipliner yaklaşımla tedavi prensipleri doğru uygulandığı takdirde cerrahi olarak güvenle tedavi edilebilirler

🔖

Cite This Article

KORKMAZ, M. F., SARAÇ, K., KARAKAPLAN, M., GÖRMELİ, G., ERDEM, M. N., SELÇUK, E. B. (2014). The evaluatıon of the effıcacy and safety of the surgıcal treatment of multı-level vertebral hemangıomas ınvaded to the spınal channel. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 3, 211–218. https://ajindex.com/articles/271397

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Chen HI, Heuer GG, Zaghloul K, Simon SL, We- igele JB, Grady MS. Case report. Lumbar vertebral he- mangioma presenting with the acute onset of neurologi- cal symptoms. J Neurosurg Spine 2007; 7: 80–85
  2. Faria SL, Schlupp WR, Chiminazzo H Jr. Radiot- herapy in the treatment of vertebral hemangiomas. Int J radiat Oncol Biol Phys 1985; 11: 387-389
  3. Fernandez-Torron R, Palma JA, Riverol M, Irimia P, Martinez-Vila E. Brown-sequard syndrome after endo- vascular embolization of vertebral hemangioma. Spinal Cord 2012; 50: 636-637
  4. Fox MW, Onofrio BM. The natural history and management of symptomatic and asymptomatic vertebral hemangiomas. J Neurosurg 1993; 78(1): 36–45
  5. Gross CE, Hodge CH Jr, Binet EF, Kricheff II. Reli- ef of spinal block during embolization of a vertebral body hemangioma: case report. J Neurosurg 1976; 45: 327-323
  6. Guedea F, Majo J, Guardia E, Canals E, Craven- Bartle J. The role of radiotherapy in vertebral hemangio- mas without neurological signs. Int Orthop 1994; 18(2): 77-79
  7. Ide C, Gangi A, Rimmelin A, Beaujeux R, Maitrot D, Buchheit F, Sellal F, Dietemann JL. Vertebral heman- giomas with spinal compression: The place of preoperati- ve percutaneous vertebroplasty with methyl methacrylate. Neuroradiology 1996; 38: 585-589
  8. Karaeminogullari O, Tuncay C, Demirors H, Akin K, Sahin O, Ozyurek A, Tandogan NR. Multilevel ver- tebral hemangiomas: two episodes of spinal cord comp- ression at separate levels 10 years apart. Eur Spine J 2005; 14: 706–710
  9. Murugan L, Samson RS, Chandy MJ. Management of symptomatic vertebral hemangiomas: review of 13 pa- tients. Neurol India 2002; 50: 300-305
  10. Ng VW, Clifton A, Moore AJ. Preoperative endo- vascular embolization of a vertebral haemangioma. J Bone Joint Surg 1997; 79-B(5): 808–811
  11. Nguyen JP, Djindjian M, Gaston A. Vertebral he- mangiomas presenting with neurologic symptoms. Surg Neurol 1987; 27: 391-397
  12. Pastushyn A, Slin’ko EI, Mirzoyeva GM. Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Ne- urol 1998; 50: 535–547
  13. Pelosi L, Lamb J, Grevitt M, Mehdian SM, Webb JK, Blumhardt LD. Combined monitoring of motor and somatosensory evoked potentials in orthopaedic spinal surgery. Clin Neurophysiol 2002; l 113(7): 1082–1091
  14. Raco A, Ciappetta P, Artico M Salvati M, Guidet- ti G, Guglielmi G. Vertebral hemangiomas with cord compression: the role of embolization in five cases. Surg Neurol 1990; 34