Transoral Approach for Percutaneous Vertebroplasty in the Treatment of Osteolytic Tumor Lesions of the Lateral Mass of the Atlas
| Autor: | Soizic Pichon, Léon Ikka, Hugues Pascal-Moussellard, Lise Le Jean, Frédéric Clarençon, Jean-Baptiste Maldent, Jacques Chiras, Evelyne Cormier |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Vertebral artery Osteolysis Adenocarcinoma Balloon Metastasis Percutaneous vertebroplasty Hemangioma medicine.artery medicine Humans Orthopedics and Sports Medicine Cervical Atlas Aged Vertebroplasty Spinal Neoplasms business.industry Middle Aged medicine.disease Surgery Pancreatic Neoplasms Treatment Outcome Feasibility Studies Female Neurology (clinical) Radiology Complication business |
| Zdroj: | Spine. 38:E193-E197 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/brs.0b013e31827d41c7 |
| Popis: | Study design Case series. Objective To report our early experience of percutaneous vertebro-plasty via a transoral approach of the lesions of the lateral mass of C1. Summary of background data Percutaneous vertebroplasty has gained acceptance for the treatment of osteolytic lesions of the spine. However, scant data are available on the percutaneous vertebroplasty of the C1 lesions. Methods Two patients (a 74-yr-old female and a 53-yr-old male) presenting respectively a metastasis of the left lateral mass of C1 from a pancreatic adenocarcinoma and a hemangioma of the left lateral mass of C1 underwent a percutaneous vertebroplasty via a transoral approach in a hybrid angio suite associating a monoplane flat panel and a computed tomography scan, using polymethylmetacrilate bone cement.For the second patient, a nondetachable balloon was used to protect the vertebral artery from cement leakage. Results Satisfactory filing of the lesions was obtained in both patients. No complication was recorded. Both patients experienced pain improvement. Conclusion Transoral approach for the treatment of osteolytic tumor lesions of the lateral mass of the atlas is feasible and seems to be a safe and effective technique. |
| Databáze: | OpenAIRE |
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