Surgical treatment of symptomatic vertebral haemangiomas

Jankowski, Ron; Nowak, S.; Zukiel, R; Szymaś, Janusz; Sokół, Bartosz

doi:10.1016/s0028-3843(14)60125-0

Cited by 12 publications

(6 citation statements)

References 34 publications

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“…With these premises, our treatment can be completed within 24 hours, preventing excessive blood loss with a reasonable surgical time. 39 Some limitations to this work must be acknowledged. Some are intrinsic to the rarity of pathology itself and study design because of its retrospective nature and the lack of a control group or randomization.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Aggressive Vertebral Hemangiomas with Poly Vinyl Alcohol (PVA) Microparticles Embolization, PMMA, and Short Segment Stabilization: Preliminary Results with at Least 5 Years of Follow-up

et al. 2019

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Section: Discussionmentioning

confidence: 99%

Treatment of Aggressive Vertebral Hemangiomas with Poly Vinyl Alcohol (PVA) Microparticles Embolization, PMMA, and Short Segment Stabilization: Preliminary Results with at Least 5 Years of Follow-up

et al. 2019

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“…13 Since that first publication, 27 new cases have been described (Table 1). 1,[3][4][5][6][7][8][9][10][11][13][14][15][16][18][19][20][21][22][23][24][25][26][27][28][29] The diagnosis was usually made during the third trimester (22 of 27 cases). The mean maternal age at the time of diagnosis was 30 years.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9]11,[19][20][21]24,26,28,29 Only half of these cases were treated antepartum. 8,[19][20][21]28 Only 1 of the 8 cases of prematurity (between 32 and 36 weeks of gestation) 1,3,10,[13][14][15]19,23 was treated antepartum. 13 Finally, only 1 of the 7 cases close to term (beyond 36 weeks of gestation) 4,5,16,22,25,27 at the time of diagnosis was treated antepartum.…”

Section: Discussionmentioning

confidence: 99%

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Symptomatic vertebral hemangiomas during pregnancy

Moles¹,

Hamel

Perret

et al. 2014

SPI

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Symptomatic vertebral hemangiomas during pregnancy are rare, as only 27 cases have been reported in the literature since 1948. However, symptomatic vertebral hemangiomas can be responsible for spinal cord compression, in which case they constitute a medical emergency, which raises management difficulties in the context of pregnancy. Pregnancy is a known factor responsible for deterioration of these vascular tumors. In this paper, the authors report 2 clinical cases of symptomatic vertebral hemangiomas during pregnancy, including 1 case of spontaneous fracture that has never been previously reported in the literature. The authors then present a brief review of the literature to discuss emergency management of this condition. The first case was a 28-year-old woman at 35 weeks of gestation, who presented with paraparesis. Spinal cord MRI demonstrated a vertebral hemangioma invading the body and posterior arch of T-3 with posterior epidural extension. Laminectomy and vertebroplasty were performed after cesarean section, allowing neurological recovery. The second case involved a 35-year-old woman who presented with spontaneous fracture of T-7 at 36 weeks of gestation, revealing a vertebral hemangioma with no neurological deficit, but it was responsible for pain and local instability. Treatment consisted of postpartum posterior interbody fusion. With a clinical and radiological follow-up of 2 years, no complications and no modification of the hemangiomas were observed. A review of the literature reveals discordant management of these rare cases, which is why the treatment course must be decided by a multidisciplinary team as a function of fetal gestational age and maternal neurological features.

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“…Jankowski et al (19) considered patients with pathologic vertebral fractures and persistent pain eligible for percutaneous vertebroplasty or kyphoplasty but they stated that vertebroplasty is a contraindication if VH expands into the spinal canal. In kyphoplasty, in fact, the risk of major complications as the cement leakage is present.…”

Section: Vertebroplasty or Kyphoplastymentioning

confidence: 99%