The role of preoperative vascular imaging and embolisation for the surgical resection of bilateral hip heterotopic ossification

Abstract

The surgical excision of heterotopic ossification can provide improved function for patients; however, complications can include damage to nearby vessels and nerves, blood loss and recurrence. In the preoperative planning for excision, our case report describes the combination of CT angiography, preoperative embolisation of involved vascular structures and the use of intraoperative vascular surgery for dissection around key structures to aid in the reduction of morbidity in these patients.

A Novel Surgical Technique for the Management of Large-Volume Neurogenic Heterotopic Ossification Following a Spinal Cord Injury: The Sashimi Technique

“…The concept of preoperative embolization is introduced as a strategy to facilitate HO removal, with a need for joint input and consultation from vascular surgery. The potential benefits of embolization, such as simplifying the identification and dissection of blood vessels are a key factor; however, there is a need for careful consideration and weighing the risks [ 5 , 6 ]. In these cases, we opted not to perform embolization to preserve blood flow to the bone.…”