Thoracic ossified meningioma and osteoporotic burst fracture: treatment with combined vertebroplasty and laminectomy without instrumentation

Case report

Restricted access

✓ Although spinal meningioma is a common benign neoplasm, the ossified variant is rare. No more than 20 sporadic cases were reported in the literature between 1977 and January 2005. Recently, the authors treated a patient with a symptomatic ossified meningioma located in the posterior aspect of T-11 and an associated osteoporotic T-11 burst fracture. The tumor was completely removed by T10–11 laminectomy and transpedicular vertebroplasty was performed. The kyphotic deformity of the T-11 burst fracture was partially reduced and maintained for at least 2 months after vertebroplasty and laminectomy. The clinical presentation and management of this case are reported.

Abbreviations used in this paper: MR = magnetic resonance; VB = vertebral body.
Article Information

Contributor Notes

Address reprint requests to: Cheng-Chih Liao, M.D., Chang Gung University and Chang Gung Memorial Hospital, 5, Fu-shing Street, 333 Kweishan, Taoyuan, Taiwan. email: liao2901@adm.cgmh.org.tw.

© AANS, except where prohibited by US copyright law.

Headings
References
  • 1

    Chen JFWu CTLee ST: Percutaneous vertebroplasty for the treatment of burst fractures. Case report. J Neurosurg Spine 1:2282312004

    • Search Google Scholar
    • Export Citation
  • 2

    Dean JRIson KTGishen P: The strengthening effect of percutaneous vertebroplasty. Clin Radiol 55:4714762000

  • 3

    Deramond HDepriester CGalibert PLe Gars D: Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications, and results. Radiol Clin North Am 36:5335461998

    • Search Google Scholar
    • Export Citation
  • 4

    Doita MHarada TNishida KMarui TKurosaka MYoshiya S: Recurrent calcified spinal meningioma detected by plain radiograph. Spine 26:E249E2522001

    • Search Google Scholar
    • Export Citation
  • 5

    Galibert PDeramond HRosat PLe Gars D: Note prélimaire sur le traitement des angiomes vertébraux par vertébroplastie acrylique percutanée. Neurochirurg 33:1661681987

    • Search Google Scholar
    • Export Citation
  • 6

    Lee STChen JF: Closed reduction of vertebroplasty for the treatment of osteoporotic vertebral compression fractures. Technical note. J Neurosurg Spine 100:3923962004

    • Search Google Scholar
    • Export Citation
  • 7

    Lee STChen JF: A syringe compressor for vertebroplasty: technical note. Surg Neurol 61:5805842004

  • 8

    Levy WJ JrBay JDohn D: Spinal cord meningioma. J Neurosurg 57:8048121982

  • 9

    Liebschner MARosenberg WSKeaveny TM: Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty. Spine 26:154715542001

    • Search Google Scholar
    • Export Citation
  • 10

    Naderi SYilmaz MCanda TAcar U: Ossified thoracic spinal meningioma in childhood: a case report and review of the literature. Clin Neurol Neurosurg 103:2472492001

    • Search Google Scholar
    • Export Citation
  • 11

    Tohmeh AGMathis JMFenton DCLevine AMBelkoff SM: Biomechanical efficacy of unipedicular versus bipedicular vertebroplasty for the management of osteoporotic compression fractures. Spine 24:177217761999

    • Search Google Scholar
    • Export Citation
  • 12

    Wilson DRMyers ERMathis JMScribner RMConta JAReiley MA: Effect of augmentation on the mechanics of vertebral wedge fractures. Spine 25:1581652000

    • Search Google Scholar
    • Export Citation
  • 13

    Yu SWLee PCMa CHChuang TYChen YJ: Vertebroplasty for the treatment of osteoporotic compression spinal fracture: comparison of remedial action at different stages of injury. J Trauma 56:6296322004

    • Search Google Scholar
    • Export Citation
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 107 106 26
Full Text Views 37 32 0
PDF Downloads 124 75 0
EPUB Downloads 0 0 0
PubMed
Google Scholar