.png?w=68&ssl=1) Authors Stangenberg M, Viezens L, Eicker SO, Mohme M, Mende KC, Dreimann M. |
 Institute Dept of Trauma, Hand and Reconstructive Surgery and Neurosurgery University Hospital Hamburg-Eppendorf, Hamburg Dept of Trauma Surgery, Orthopedics and Plastic Surgery University Hospital Goettingen, Germany |
 Journal Neurosurg Focus. 2017 Aug;43(2):E3. |
| Take Home message High viscosity resin can reduce the risk of leakage in cervical fracturesVertebroplasty can reduce pain and restore stability in patients with osteolytic spinal metastases |
| Summary |
| 14 patients with osteolytic metastases of cervical spine underwent vertebroplasty alone or combined with another surgery in a palliative setting to reduce pain and restore stability |
| Sample characteristics |
| 14 patients (8M, 6F); mean age of 65 years (44 – 85); 25 vertebrae Aetiology: metastatic disease of the cervical spine due to myeloma (10), breast carcinoma (2), pulmonary cancer (1), unknown origin (1) |
| Mean FU (range) |
| 9M (2 – 20) for 12 pts |
| Vertebral filling |
| Radiologically, good cement distribution and filling of the resection cavity was demonstrated in all cases |
| Complications |
| Leakage: 14% (2/14) – asymptomaticNeurological examination unchangedNo surgery-related complications |
| Key points |
| – anterior vertebroplasty of cervical spine is a secure, minimally invasive procedure with a low complication rate for osteolytic metastases – effective for reducing pain and restoring stability, can be combined with other ventral or dorsal procedures of cervical spine, and, in the axis vertebra, can be performed from posteriorly. – the posterior wall of the vertebral body should be intact to avoid potentially dangerous complications such as intraspinal leakage with a risk of high para- or tetraparesis – to prevent cement leakage and embolization, cement should have an adequate consistency, a high-resolution fluoroscopic device should be used, the injection should be stopped immediately if leakage is recognized |
