| Title | Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance |
| Authors | Dang, Lei Liu, Chen Yang, Shao Min Jiang, Liang Liu, Zhong Jun Liu, Xiao Guang Yuan, Hui Shu Wei, Feng Yu, Miao |
| Affiliation | Peking Univ, Hosp 3, Dept Orthopaed, Beijing 100191, Peoples R China. Peking Univ, Hosp 3, Dept Radiol, Beijing 100191, Peoples R China. Peking Univ, Hlth Sci Ctr, Dept Pathol, Beijing 100191, Peoples R China. Peking Univ, Hosp 3, Dept Orthopaed, 49 N Garden Rd, Beijing 100191, Peoples R China. |
| Keywords | Vertebral hemangioma Diagnosis Radiotherapy Vertebroplasty Surgery LUMBAR SPINE SPONDYLECTOMY COMPRESSION MANAGEMENT ETHANOL CORD |
| Issue Date | 2012 |
| Publisher | european spine journal |
| Citation | EUROPEAN SPINE JOURNAL.2012,21,(10),1994-1999. |
| Abstract | Vertebral hemangioma (VH) is virtually vascular malformation, which is usually asymptomatic. Only 3.7 % of VH may become active and symptomatic, and 1 % may invade the spinal canal and/or paravertebral space. Treatment protocols for active or aggressive VHs are still in controversy. Reported treatments include radiotherapy, vertebroplasty, direct alcohol injection, embolization, surgery and a combination of these modalities. A 41-year-old lady was presented with 18 month history of intermittent back pain. CT revealed T5 osteolytic lesion with epidural and paravertebral extension. The first CT guided biopsy yielded little information. Histopathological diagnosis of the second biopsy was VH. Vertebroplasty, posterior decompression and fixation were performed followed by postoperative radiotherapy. Her symptoms were resolved immediately after the operation. At 12 months follow-up, no recurrence was detected by CT with contrast enhancement. Surgical decompression, vertebroplasty and fixation are safe and effective for aggressive VH. More attention is needed in determining the algorithm for the diagnosis and treatment of aggressive VH. |
| URI | http://hdl.handle.net/20.500.11897/161442 |
| ISSN | 0940-6719 |
| DOI | 10.1007/s00586-012-2349-1 |
| Indexed | SCI(E) PubMed |
| Appears in Collections: | 第三医院 |
