Surgical treatment of compressive spinal hemangioma: A case series of three patients and literature review; [Chirurgische Behandlung des komprimierenden spinalen Hämangioms: Fallserie mit 3 Patienten und Literaturübersicht]

被引：0
作者：
Chen Y.-L. [1 ]
Hu X.-D. [1 ]
Xu N.-J. [1 ]
Jiang W.-Y. [1 ]
Ma W.-H. [1 ]
机构：
[1] Department of Spine Surgery, Ningbo No. 6 Hospital, No. 1059, Zhongshan East Road, Ningbo
来源：
Der Orthopäde | 2018年 / 47卷 / 3期
关键词：
Cavernous hemangioma; Spinal cord compression; Spinal neoplasms; Surgery; Vertebroplasty;
D O I：
10.1007/s00132-017-3503-6
中图分类号：
学科分类号：
摘要：
Purpose: In this article we describe the treatment of compressive vertebral hemangioma. Methods: Our case series comprised three patients with aggressive hemangioma. We performed a combination of posterior decompression and vertebroplasty for the two patients with a sacral hemangioma and a thoracic hemangioma, and en bloc resection for the third patient, who also had a thoracic lesion. Results: Surgical intervention is indicated in cases of rapidly progressive tumors or severe myelopathy. All three patients had good clinical results. The follow-up period ranged from 8 to 56 months. The mean blood loss was around 700 ml, and mean surgical time was 2.1 h. Blood loss for the en bloc procedure was around 1,200 ml, and surgical time was 2.3 h. Conclusion: A combination of posterior decompression, vertebroplasty, and posterior fixation for aggressive hemangioma can reduce blood loss during surgery. For patients with hemangioma and with incomplete paralysis, total en bloc spondylectomy should be considered. Adjuvant radiotherapy can reduce the recurrence of cavernous vertebral hemangiomas. © 2017, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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页码：221 / 227
页数：6
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