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Doughnut vertebroplasty for circumferential aggressive vertebral hemangiomas
Cecile Roscop1, Florent Gariel2, David Christopher Kieser3
1The Spine Institute, University Hospital Centre Bordeaux Pellegrin Hospital Group, Bordeaux, France.
Journal of Neurointerventional Surgery
|February 26, 2021
Summary
Doughnut vertebroplasty is a safe and effective minimally invasive treatment for aggressive vertebral hemangiomas (VHs). This procedure significantly reduces pain and neurological symptoms in over 90% of patients.
Area of Science:
- Interventional Radiology
- Neurosurgery
- Orthopedic Surgery
Background:
- Aggressive vertebral hemangiomas (VHs) can cause significant pain and neurological deficits.
- Traditional treatments may be invasive or have limitations.
Purpose of the Study:
- To evaluate the feasibility, safety, and efficacy of percutaneous doughnut vertebroplasty for circumferential aggressive VHs.
Main Methods:
- Retrospective review of 22 patients with aggressive VHs treated with doughnut vertebroplasty.
- Procedures performed under conscious sedation with biplane fluoroscopic guidance.
- Preoperative and postoperative imaging (CT and MRI) and clinical follow-up.
Main Results:
- Over 90% of patients experienced pain relief (complete or partial) at 3-month follow-up.
- Reduced venous swelling on MRI observed in 9 of 14 patients.
- No complications reported; clinical and radiographic improvements were sustained.
Conclusions:
- Doughnut vertebroplasty is a mini-invasive, safe, and effective treatment for aggressive circumferential VHs.
- The technique alleviates pain and neurological symptoms, with regression of the epidural venous component.
