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Spinal reconstruction for symptomatic thoracic haemangioma using a titanium cage
1Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. togura@koto.kpu-m.ac.jp
Postgraduate Medical Journal
|October 3, 2002
Summary
This study presents a successful spinal reconstruction for a symptomatic extraosseous thoracic hemangioma. Surgical intervention with a titanium cage stabilized the spine and improved patient symptoms.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Vascular Malformations
Background:
- Vertebral hemangiomas are typically asymptomatic vascular malformations.
- Symptomatic presentation often necessitates surgical intervention.
- Extraosseous extension can lead to significant complications like spinal cord compression.
Observation:
- A patient presented with a symptomatic extraosseous thoracic hemangioma causing spinal cord compression.
- Radiographic and advanced imaging (MRI, CT) revealed characteristic vertebral striations and tumor extension.
- Angiography identified multiple tumor feeding vessels.
Findings:
- Histological diagnosis confirmed a cavernous hemangioma via transpedicular biopsy.
- Preoperative embolization of feeding vessels was performed.
- A single posterior approach enabled laminectomy, subtotal vertebrectomy, and rigid spinal stabilization using pedicle screws and a titanium cage with autogenous bone graft.
Implications:
- This case demonstrates the efficacy of a combined surgical and interventional radiology approach for managing symptomatic vertebral hemangiomas.
- Titanium cage reconstruction provides stable and durable fixation.
- Successful outcomes highlight the potential for significant clinical symptom improvement.