Noncontiguous lumbar vertebral hemangiomas treated by posterior decompression, intraoperative kyphoplasty, and segmental fixation

Case report

Bin Yu M.D., Desheng Wu M.D., Bin Shen M.D., Weidong Zhao M.D., Yufeng Huang M.D., Jianguang Zhu M.D., and Dongduo Qi M.D.
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  • Department of Spine Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
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Vertebral hemangiomas are benign lesions and are often asymptomatic. Most vertebral hemangiomas that cause cord compression and neurological symptoms are located in the thoracic spine and involve a single vertebra. The authors report the rare case of lumbar hemangiomas in a 60-year-old woman presenting with severe back pain and rapidly progressive neurological signs attributable to 2 noncontiguous lesions. After embolization of the feeding arteries, no improvement was noted. Thus, the authors performed open surgery using a combination of posterior decompression, intraoperative kyphoplasty, and segmental fixation. The patient experienced relief from back and leg pain immediately after surgery. At 3 months postoperatively, her symptoms and neurological deficits had improved completely. To the authors' knowledge, this is the first description of 2 noncontiguous extensive lumbar hemangiomas presenting with neurological symptoms managed by such combined treatment. The combined management seems to be an effective method for treating symptomatic vertebral hemangiomas.

Abbreviation used in this paper:PMMA = polymethylmethacrylate.

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Contributor Notes

Drs. Bin Yu, Bin Shen, and Weidong Zhao contributed equally to this work.

Address correspondence to: Desheng Wu, M.D., Department of Spine Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China. email: eastspine@yahoo.com.

Please include this information when citing this paper: published online November 15, 2013; DOI: 10.3171/2013.10.SPINE13499.

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