Use of C2 vertebroplasty and stereotactic radiosurgery for treatment of lytic metastasis of the odontoid process

Improvements in cancer therapy have led to increased patient survival times in spite of metastatic spinal disease in many forms of cancer. Conventional treatment methods often employ radiotherapy with or without surgery depending on the neurological status, mechanical instability, and the extent of...

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Bibliographic Details
Published in:Journal of craniovertebral junction and spine 2017-07, Vol.8 (3), p.285-287
Main Authors: Hribar, Casey Alicen, Bhowmick, Deb A
Format: Article
Language:English
Subjects:
Analysis
Biopsy
Cancer metastasis
Cancer therapies
Care and treatment
Case Report
Cement
Cement augmentation
Health aspects
Medical imaging
Metastasis
Neck pain
Neurosurgery
odontoid tumor pathology
Orthopedic surgery
Pain management
Patients
Quality of life
Radiation therapy
Radiosurgery
stereotactic radiosurgery
Vertebrae
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Summary:Improvements in cancer therapy have led to increased patient survival times in spite of metastatic spinal disease in many forms of cancer. Conventional treatment methods often employ radiotherapy with or without surgery depending on the neurological status, mechanical instability, and the extent of tumor. Percutaneous vertebroplasty as well as stereotactic radiosurgery (SRS) have arisen as common modalities of treatment of spinal metastasis in which neurological compromise or spinal instability and deformity is not of significant concern. These treatments, when used in combination, have been shown to provide early pain relief and effective tumor control while avoiding surgical resection, fixation, and lengthy recovery times. We present a case unique in the literature for the use of this combination treatment for tumors of the C2 vertebral body. While limited in application to patients without overt atlantoaxial instability or significant spinal canal compromise, we believe it provides a significant benefit in decreasing morbidity and improving early adherence to systemic therapy.
ISSN:0974-8237
0976-9285
DOI:10.4103/jcvjs.JCVJS_63_17