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Preoperative embolization of hypervascular spinal tumors: Two case reports
Nguyen Thai Binh1, Tran Quoc Hoa2, Le Tuan Linh1
1Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.
Journal of Clinical Imaging Science
|June 8, 2022
Summary
Preoperative embolization effectively reduces blood loss and complications for hypervascular spinal tumors. This technique, combined with surgery, offers a safe and beneficial treatment option for patients with spinal tumors.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Hypervascular spinal tumors present significant surgical challenges due to potential for substantial blood loss.
- Preoperative embolization is an established technique for vascular malformations and tumors in other body regions.
Purpose of the Study:
- To evaluate the efficacy and safety of preoperative embolization as an adjunctive treatment for hypervascular spinal tumors.
- To present two case studies of successful management using this combined approach.
Main Methods:
- Literature review on preoperative embolization for spinal tumors.
- Case report 1: 18-year-old male with D2 posterior vertebral arch tumor. Case report 2: 68-year-old male with L4 vertebral body mass.
- Both patients underwent preoperative embolization followed by surgical resection.
Main Results:
- Successful embolization and subsequent surgery were performed in both cases.
- Neither patient experienced major postoperative complications.
- Histological diagnoses: osteoblastoma (Case 1) and plasmacytoma (Case 2).
Conclusions:
- Preoperative embolization is a valuable adjunctive therapy for hypervascular spinal tumors, minimizing operative risks.
- The combined embolization and surgical approach is safe and effective for managing these complex spinal lesions.
