Abstract

Aggressive vertebral hemangiomas represent 4 % of all hemangiomas. Percutaneous vertebroplasty is typically considered as the first-line treatment option for aggressive hemangioma. The lesions that involve the entire vertebral body, extend into the cortical bone constitute 44 % of all vertebral hemangiomas. Extra-vertebral cement migration is reported to occur in 40 to 87.5 % of the cases at percutaneous vertebroplasty being less with the use of balloon kyphoplasty. There is a paucity of literature examining surgical treatment of aggressive hemangiomas with balloon kyphoplasty. We report two cases of aggressive vertebral hemangiomas involving the entire vertebral bodies treated with balloon kyphoplasty. The treatment provided good outcomes with no complications observed postoperatively.

Highlights

  • Vertebral hemangiomas (VH) are benign vascular tumors around one or two vertebrae [1]

  • Considering the gaps in the available literature, Russian in particular, on the outcomes of Balloon kyphoplasty (BK) used to treat aggressive VH with the entire vertebral body involvement and a corical bone defect we report our clinical observations

  • Percutaneous vertebroplasty (PV) is a proven method for addressing aggressive VH it is associated with intra- and postoperative complications [5]

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Summary

INTRODUCTION

Vertebral hemangiomas (VH) are benign vascular tumors around one or two vertebrae [1]. Zaretskov V.V., Arsenievich V.B., Likhachev S.V., Stepukhovich S.V., Shul’ga A.E., Mizyurov S.A. To the question of using balloon kyphoplasty in surgical treatment of aggressive vertebral hemangioma (case report). Considering the gaps in the available literature, Russian in particular, on the outcomes of BK used to treat aggressive VH with the entire vertebral body involvement and a corical bone defect we report our clinical observations. Case 2 A 52-year-old patient S. presented with persistent gnawing pain in the lumbar spine that aggravated with physical activity. She experienced pain that scored 7 on the VAS scale for about six months. CT scan of the L5 vertebra demonstrated aggressive features of hemangioma with the involvement of the entire vertebral body (Fig. 3). CT scans produced at a 12-month follow-up showed no recurrence of hemangioma

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