Percutaneous Vertebroplasty for Cervical Symptomatic Hemangiomas and Spinal Metastases: A Case Series and Literature Review

Percutaneous vertebroplasty (PVP) is a commonly used technique for the treatment of spinal diseases, but it is rarely employed for cervical lesions. This study presents a case series and a literature review to evaluate the efficacy of cervical PVP. From August 2013 to January 2023, 14 patients under...

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Published in:World neurosurgery 2024-04, Vol.184, p.e247-e254
Main Authors: Wu, Shan, Zhong, Dian, Zhao, Guosheng, Wang, Liyuan, Liu, Yang, Ke, Zhenyong, Yan, Zhengjian, Deng, Zhongliang, Wang, Yang
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Language:English
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Cervical hemangioma
Cervical percutaneous vertebroplasty
Pain
Spinal metastasis
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container_title World neurosurgery
container_volume 184
creator Wu, Shan
Zhong, Dian
Zhao, Guosheng
Wang, Liyuan
Liu, Yang
Ke, Zhenyong
Yan, Zhengjian
Deng, Zhongliang
Wang, Yang
description Percutaneous vertebroplasty (PVP) is a commonly used technique for the treatment of spinal diseases, but it is rarely employed for cervical lesions. This study presents a case series and a literature review to evaluate the efficacy of cervical PVP. From August 2013 to January 2023, 14 patients underwent cervical PVP in the author's institution. The mean postoperative follow-up time was 20.3 ± 12.1 months (ranging from 5 to 41 months). The pain status and quality of life were assessed preoperatively, postoperatively, and during follow-up using the Visual Analog Scale and Neck Disability Index. Additionally, complications that occurred during the study period were documented. The series of cases included 9 cases of hemangiomas and 5 cases of spinal metastases. The common symptom was axial pain in the neck. All patients were successfully treated with PVP. Visual analog scale scores decreased from 6.6 ± 0.8 preoperatively to 1.9 ± 0.8 at 24 hours postoperatively and to 2.4 ± 1.2 at the last follow-up (P 
doi_str_mv 10.1016/j.wneu.2024.01.104
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This study presents a case series and a literature review to evaluate the efficacy of cervical PVP. From August 2013 to January 2023, 14 patients underwent cervical PVP in the author's institution. The mean postoperative follow-up time was 20.3 ± 12.1 months (ranging from 5 to 41 months). The pain status and quality of life were assessed preoperatively, postoperatively, and during follow-up using the Visual Analog Scale and Neck Disability Index. Additionally, complications that occurred during the study period were documented. The series of cases included 9 cases of hemangiomas and 5 cases of spinal metastases. The common symptom was axial pain in the neck. All patients were successfully treated with PVP. Visual analog scale scores decreased from 6.6 ± 0.8 preoperatively to 1.9 ± 0.8 at 24 hours postoperatively and to 2.4 ± 1.2 at the last follow-up (P &lt; 0.01). Neck Disability Index decreased from 22.3% ± 8.9% preoperatively to 7.6% ± 8.1% at 24 hours postoperatively and to 6.0% ± 7.2% at 12-month follow-up (P &lt; 0.01). After the operation, a case of dysphagia occurred, but no major complications were observed during the follow-up period. Cervical PVP via the anterolateral approach is a safe option for the treatment of cervical symptomatic hemangiomas and spinal metastases with limited invasiveness. 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subjects Cervical hemangioma
Cervical percutaneous vertebroplasty
Pain
Spinal metastasis
title Percutaneous Vertebroplasty for Cervical Symptomatic Hemangiomas and Spinal Metastases: A Case Series and Literature Review
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