Painful Osteolytic Metastasis Involving the Anterior and Posterior Arches of C1: Percutaneous Vertebroplasty with Local Anesthesia

Anselmetti, Giovanni Carlo; Manca, Antonio; Chiara, Gabriele; Regge, Daniele

doi:10.1016/j.jvir.2009.08.008

Cited by 15 publications

(10 citation statements)

References 7 publications

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“…In the upper cervical spine, this procedure is challenging for the surgeon to control using the anterolateral, posterolateral, translateral, and direct transoral approaches. 43 – 48 Indications for kyphoplasty include painful vertebral metastases without spinal instability, and spinal cord and spinal nerve root compression. Therefore, the purpose of the operation is to stabilize the cervical spine and relieve intractable pain.…”

Section: Discussionmentioning

confidence: 99%

Palliative Surgery in Treating Painful Metastases of the Upper Cervical Spine

Ye²,

Pu³

et al. 2016

Medicine

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Increased incidence of upper cervical metastases and higher life expectancy resulted in higher operative rates in patients. The purpose of this study was to explore the methods and the clinical outcomes of palliative surgery for cervical spinal metastases.A systematic review of a 15-case series of upper cervical metastases treated with palliative surgery was performed. All cases underwent palliative surgery, including anterior tumor resection and internal fixation in 3 cases, posterior tumor resection and internal fixation in 10 cases, and combined anterior and posterior tumor resection and internal fixation in 2 cases. Patients were followed-up clinically and radiologically after the operation, and visual analog scale (VAS) and activities of daily living scores were calculated. In addition, a literature review was performed and patients with upper cervical spine metastases were analyzed.The mean follow-up period was 12.5 months (range, 3–26 months) in this consecutive case series. The pain was substantially relieved in 93.3% (14/15) of the patients after the operation. The VAS and Japanese Orthopedic Association scores showed improved clinical outcomes, from 7.86 ± 1.72 and 11.13 ± 2.19 preoperatively to 2.13 ± 1.40 and 14.26 ± 3.03 postoperatively, respectively. The mean survival time was 9.5 months (range, 5–26 months). Dural tear occurred in 1 patient. Wound infections, instrumentation failure, and postoperative death were not observed. Among our cases and other cases reported in the literature, 72% of the patients were treated with simple anterior or posterior operation, and only 12% of the patients (3/25) underwent complex combined anterior and posterior operation.Metastatic upper cervical spine disease is not a rare occurrence. Balancing the perspective of patients on palliative surgery concerning the clinical benefits of operation versus its operative risks can assist the decision for surgery.

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Section: Discussionmentioning

confidence: 99%

Palliative Surgery in Treating Painful Metastases of the Upper Cervical Spine

Ye²,

Pu³

et al. 2016

Medicine

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“…However, to the best of our knowledge, only a total of seven articles have reported the PVP of C1. According to the locoregional anatomy, various techniques with anterior, translateral, and posterior approaches, under CT, biplanar fluoroscopy, or combined CT and fluoroscopy guidance, have been described by the previous seven reports [2][3][4][5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…However, percutaneous cement augmentation of the atlas, to the best of our knowledge, has been described in only seven articles [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Anterior retropharyngeal approach to C1 for percutaneous vertebroplasty under C-arm fluoroscopy

et al. 2015

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“…7 , 16 Two cases of PV of a C1 lateral mass have been previously reported via a posterior approach 15 in a fi rst case of osteolytic metastasis from a parotid cancer and via a lateral approach in a second case of osteolytic metastasis from breast cancer, 17 with satisfying results. However, in our cases, the close relationship with the vertebral artery led us to choose…”

Section: Discussionmentioning

confidence: 99%