Balloon kyphoplasty for painful C-7 vertebral hemangioma

Case report

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✓The authors report on the efficacy of balloon kyphoplasty applied to obliteration of symptomatic cervical hemangioma. This 49-year-old woman suffered from progressive neck pain, numbness of the upper extremities, and frequent headaches. Hemangioma of the C-7 vertebral body was diagnosed. Kyphoplasty was performed successfully through a right anterolateral approach. The patient became asymptomatic, and follow-up examinations confirmed complete recovery. To the authors' knowledge, this is the first description of cervical hemangioma treated by balloon kyphoplasty.

Abbreviations used in this paper: VB = vertebral body; VH = vertebral hemangioma.

Article Information

Address correspondence to: Krzysztof Zapalowicz, M.D., Department of Neurosurgery and Peripheral Nerve Surgery, Medical University of Lodz, University Hospital Nr 2, 113 Zeromskiego St, 90-549 Lodz, Poland. email: zapalowicz@lodz.msk.pl.

© AANS, except where prohibited by US copyright law.

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Figures

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    Left: Plain cervical radiograph (lateral view) showing the C-7 VB hemangioma with vertical striations. Right: A computed tomography scan showing the honeycomb appearance of the C-7 VB with disrupted cortical bone of the posterior wall (arrows).

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    Sagittal T1- (left) and T2- (right) weighted magnetic resonance images of the cervical spine showing the C-7 VB hemangioma.

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    Lateral (left) and anteroposterior (right) cervical spine fluoroscopy studies obtained during the balloon kyphoplasty procedure (anterolateral approach) showing the inflated balloon situated in the center of the C-7 VB.

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    Computed tomography studies obtained after the kyphoplasty procedure. Left: Cement fills the VB, and there is a small intra–spinal canal leak of cement. Right: Reconstructed sagittal image showing cement extending from the superior vertebral endplate to the inferior one.

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