Vertebroplasty with Decompression for Epidural Extending Vertebral Hemangiomas: An Alternative Technique

Özet

AIM: To document the effectiveness of an alternative surgical technique with concurrent vertebroplasty and decompression withoutinstrumentation for patients with vertebral hemangioma presenting with neural compression symptoms.MATERIAL and METHODS: This study is a technical note and a retrospective clinical evaluation. We analyzed the data of 8 patientsoperated with our alternative surgical technique for vertebral hemangiomas with epidural extension and neural compression,between 2013 and 2018. The preoperative, postoperative 1st month and postoperative 12th-month Visual Analogue Scale (VAS)scores were assessed and compared.RESULTS: Five of the patients had lumbar and 3 had thoracic hemangiomas. The difference between preoperative and 1st and 12thmonth Visual Analogue Scale scores were statistically significant. None of the patients received additional intervention, stabilization,or needed a blood transfusion.CONCLUSION: This technique is a safe and minimally invasive approach for vertebral hemangiomas with epidural extensionallowing decompression of the spinal cord without massive hemorrhage.