Surgical kyphoplasty for management of axis metastasis: technical note kyphoplastie de C2

C2 vertebral metastases are seldom encountered. They usually cause disabling pain at the upper cervical level and can also result in life-threatening spinal instability. The technique described herein may provide a valuable minimally invasive option for treating this condition. We report a case of C...

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Bibliographic Details
Published in:Neuro-chirurgie 2009-06, Vol.55 (3), p.323-327
Main Authors: Fuentes, S, Métellus, P, Pech-Gourg, G, Dufour, H, Grisoli, F
Format: Article
Language:fre
Subjects:
Adenocarcinoma - surgery
Humans
Male
Middle Aged
Neoplasm Metastasis - diagnostic imaging
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
Treatment Outcome
Vertebroplasty - methods
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Summary:C2 vertebral metastases are seldom encountered. They usually cause disabling pain at the upper cervical level and can also result in life-threatening spinal instability. The technique described herein may provide a valuable minimally invasive option for treating this condition. We report a case of C2 metastasis resulting from gastric adenocarcinoma in a 58-year-old male; since there was no spinal instability, open kyphoplasty was performed at C2, resulting in the healing of the body and the base of the odontoid of the C2 vertebra. The X-ray follow-up more than six months after surgery confirmed the absence of any spinal instability at the craniocervical junction. Open kyphoplasty at C2 provides a means to manage a metastasis located in the body of the C2 vertebra. This method maintains the rotatory function of the upper cervical spine, which seems to be a crucial factor, given the poor prognosis usually associated with this condition.
ISSN:0028-3770
DOI:10.1016/j.neuchi.2008.06.002