Percutaneous Vertebroplasty for Cervical Symptomatic Hemangiomas and Spinal Metastases: A Case Series and Literature Review

作者全名：Wu, Shan; Zhong, Dian; Zhao, Guosheng; Wang, Liyuan; Liu, Yang; Ke, Zhenyong; Yan, Zhengjian; Deng, Zhongliang; Wang, Yang

作者地址：[Wu, Shan; Zhong, Dian; Zhao, Guosheng; Wang, Liyuan; Liu, Yang; Ke, Zhenyong; Yan, Zhengjian; Deng, Zhongliang; Wang, Yang] Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing, Peoples R China

通信作者：Wang, Y (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing, Peoples R China.

来源：WORLD NEUROSURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001226424600001

JCR分区：Q2

影响因子：1.9

年份：2024

卷号：184

期号：　

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结束页：　

文献类型：Article

关键词：Cervical hemangioma; Cervical percutaneous vertebroplasty; Pain; Spinal metastasis

摘要：- OBJECTIVE: Percutaneous vertebroplasty (PVP) is a commonly used technique for the treatment of spinal diseases, but it is rarely employed for cervical lesions. This study presents a case series and a literature review to evaluate the efficacy of cervical PVP. - METHODS: From August 2013 to January 2023, 14 patients underwent cervical PVP in the author 's institution. The mean postoperative follow-up time was 20.3 +/- 12.1 months (ranging from 5 to 41 months). The pain status and quality of life were assessed preoperatively, postoperatively, and during follow-up using the Visual Analog Scale and Neck Disability Index. Additionally, complications that occurred during the study period were documented. - RESULTS: The series of cases included 9 cases of hemangiomas and 5 cases of spinal metastases. The common symptom was axial pain in the neck. All patients were successfully treated with PVP. Visual analog scale scores decreased from 6.6 +/- 0.8 preoperatively to 1.9 +/- 0.8 at 24 hours postoperatively and to 2.4 +/- 1.2 at the last follow-up ( P < 0.01). Neck Disability Index decreased from 22.3% +/- 8.9% preoperatively to 7.6% +/- 8.1% at 24 hours postoperatively and to 6.0% +/- 7.2% at 12 -month follow-up ( P < 0.01). After the operation, a case of dysphagia occurred, but no major complications were observed during the follow-up period. - CONCLUSIONS: Cervical PVP via the anterolateral approach is a safe option for the treatment of cervical symptomatic hemangiomas and spinal metastases with limited invasiveness. It is effective in relieving pain and improving quality of life.

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