Algorithm of Treatment for Extensive Vertebral Hemangiomas According to Tomita Classification of Vertebral Tumors

Nigro, Lorenzo

doi:10.21767/2171-6625.1000187

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…В настоящее время широкое распространение получили анатомические классификации опухолей позвоночника, такие как классификации McLain, Enneking, «WBB», Tomita и др. [47]. Вышеперечисленные классификации являются тактико-хирургическими, они позволяют не только описать распространенность поражения, но и наметить предполагаемый алгоритм лечения.…”

Section: рис 2 боковая рентгенограмма вакуолеобразной перестройки пunclassified

Radiation Diagnosis and Therapy of Vertebral Hemangiomas

Мизюров

Zaretskov

Likhachev

et al. 2020

Vestn. rentgenol. radiol.

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The literature review is devoted to the current radiation methods for studying vertebral hemangiomas. The significance of basic (radiography, computed tomography, and magnetic resonance imaging) and additional (Doppler ultrasound, scintigraphy, and selective angiography) diagnostic techniques is analyzed and their role in determining the indications for surgical treatment is clarified. The priority of computed tomography over other imaging methods for this pathology is established. The use of radiation therapy for vertebral hemangiomas at the present stage of medicine development is highlighted.

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Section: рис 2 боковая рентгенограмма вакуолеобразной перестройки пunclassified

Radiation Diagnosis and Therapy of Vertebral Hemangiomas

Мизюров

Zaretskov

Likhachev

et al. 2020

Vestn. rentgenol. radiol.

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“…Either single or multiple lines may be combined to achieve best therapeutic outcome. [7,16,17] Vertebroplasty using methyl methacrylate (MMA) has been first described in the management of VHs in the late 1980s.…”

Section: Introductionmentioning

confidence: 99%

Role of combined vertebroplasty and spinal decompression in the management of aggressive vertebral hemangiomas

2020

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Background: There are different surgical modalities designed to manage aggressive vertebral hemangioma (VH) that causes neurological symptoms. The selection of the best approach is still controversial. It is crucial to safely achieve neurological recovery with the elimination of the risk of recurrence. The combined use of surgical decompression and vertebroplasty is one of the surgical modalities that are used to manage these cases. Patients and Methods: From January 2012 to January 2019, nine patients with aggressive VH were retrospectively included in the study. All of them were operated upon using combined surgical decompression and vertebroplasty. We evaluated all the patients preoperatively, immediate postoperative, 1 month, and 12 months later. Clinical and radiological outcomes were assessed. Results: Affected spinal levels were dorsal in six cases and lumbar in three cases. There was no postoperative worsening of the preoperative neurological status. For the cases presented with sciatica, the mean VAS score has dropped from 8.33 preoperatively to 2.67 postoperatively. One month later, all of them are free from the radicular pain. For the cases presented with myelopathy, they regain their motor power in both lower limbs over a period of 4 weeks with a mean Nurick grade of 1.17. The postoperative radiological studies revealed near total occlusion of the VH with the maintenance of the vertebral body height. No clinical or radiological signs of spinal instability or recurrence are observed over the period of follow-up. Conclusions: The combined use of surgical decompression and vertebroplasty is considered a safe and effective modality in the management of aggressive VHs.

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“…In 1% of cases, they cause pain and inflict neurological deficits. Vertebroplasty/kyphoplasty, aggressive decompression stabilization, embolization and/or hybrid surgery can be performed in these patients (Nigro 2017).…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes of Patients Undergoing Kyphoplasty due to Vertebral Compression Fracture: A Retrospective Examination of 52 Patients

Paşahan

Güldoğan

2020

Middle Black Sea Journal of Health Science

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Objective: Osteoporosis, vertebral colon hemangiomata and metastatic tumors are among the causes of vertebral fractures. When treating vertebral fractures, the patient is rested, analgesic anti-inflammatory therapy and kyphoplasty are performed, and if there is an unstable fracture and/or neurological deficit, spinal cord decompression and stabilization are performed. Kyphoplasty is an effective method in stable fractures of the vertebrae ensuring minimal trauma, short surgical operation time and reduced pain in the early stages. In this study, clinical outcomes of 52 patients who underwent kyphoplasty at the Neurosurgery Clinic of Inonu University due to osteoporosis, vertebral hemangioma and spinal colon metastatic malignancies were discussed and presented along with the literature. Method: In our study, quantitative data are presented with medians (minimums and maximums) or averages (standard deviations), and qualitative data are presented with counts (percentages). The assumption of normality was checked by using the Shapiro-Wilk test. Because the DEXA variable had a normal distribution (p > 0.05), one-way analysis of variance was utilized to analyze the difference between fracture types. The variables of age and Visual Analog Scale (VAS) were not normally distributed (p < 0.05), so the Kruskal Wallis H test was utilized to analyze the differences between fracture types. Pearson's chi-squared test was used to investigate how fracture sites were related to age groups and gender. p < .05 was considered statistically significant. Results: A total of 52 patients who did not require surgery at the Neurosurgery Clinic of Inonu University but underwent kyphoplasty between January 1, 2010 and April 1, 2020 were included in the study. Of these patients, 45 underwent kyphoplasty due to osteoporotic vertebral fractures, 3 due to vertebral hemangioma, and 4 due to spinal metastasis. All patients were compared in terms of age, gender, fracture sites, DEXA, preoperative VAS scores and VAS scores on day 20. Conclusion: Kyphoplasty is an effective method for the treatment of stable vertebral fractures caused by osteoporosis, spinal metastases and vertebral hemangiomata

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Algorithm of Treatment for Extensive Vertebral Hemangiomas According to Tomita Classification of Vertebral Tumors

Cited by 5 publications

References 9 publications

Radiation Diagnosis and Therapy of Vertebral Hemangiomas

Radiation Diagnosis and Therapy of Vertebral Hemangiomas

Role of combined vertebroplasty and spinal decompression in the management of aggressive vertebral hemangiomas

Clinical Outcomes of Patients Undergoing Kyphoplasty due to Vertebral Compression Fracture: A Retrospective Examination of 52 Patients

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