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Updated: Aug 7, 2026
Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty (PVP)
Published on: October 17, 2019
CT guided direct transoral approach to C2 for percutaneous vertebroplasty
Arra S Reddy1, Mary Hochman, Shaun Loh
1Interventional Neuroradiology, Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, One Deaconess Rd, Suite 580, Boston, MA 02215, USA.
Background:
Percutaneous vertebroplasty is a well-established procedure consisting of the percutaneous injection of a biomaterial, usually Polymethyl methacrylate (PMMA), into a vertebral body. In most cases, this procedure affords significant pain relief and strengthens the bone. Vertebroplasty is most typically performed successfully with patients with acute compression fractures.
Objective:
We report a case of percutaneous vertebroplasty via the transoral approach, performed with computed axial tomography (CT) scan guidance.
Methods:
The procedure was performed in a 74-year-old male with a C2 vertebral body lytic lesion.
Results:
This uncomplicated, minimally invasive procedure relieved the patient's pain. The transoral route is the most direct operative approach to the pathology in the upper cervical spine.
Conclusion:
When used with the CT scanner to facilitate accurate placement of the needle, the transoral approach provides a safe and precise operative approach to the upper cervical spine.
