Save
Multidisciplinary management of benign aggressive vertebral hemangiomasin a hybrid room facility: a case-series
EANS Academy. Corniola M. 09/26/19; 275932; EP02088
Dr. Marco Vincenzo Corniola
Dr. Marco Vincenzo Corniola

Access to this content is reserved for EANS members and attendees of this event. Click here to become an EANS member and gain your access to the full content of the EANS Academy


Abstract
Discussion Forum (0)
Rate & Comment (0)
Purpose: Vertebral hemangiomas account for 2-3% of all spinal tumors. The majority are asymptomatic and incidentally identified on radiographic studies. Approximately 1% become symptomatic and may present with pain and/or neurologic deficits. Our aim was to report the multidisciplinary treatment of aggressive hemangiomas in a hybrid operating room.
Methods: Aggressive hemangiomas treated with a combination of pre-surgical embolisation, surgical decompression and intra-operative sodium tétradécyl sulfate (trombovar®) administration were retrieved. Clinical and radiological data were retrospectively analyzed.
Results: 6 patients were included, with a mean age of 53 years. 3 patients presented with a chronic, progressive myelopathy, 2 patients presented with a rapidly progressing myelopathy requiring urgent decompression and 1 patient presented with isolated dorsal pain without associated deficit. 5 patients had subtotal resections, and 1 patient had an en bloc, complete resection of the lesion. 5 patients had blood losses inferior to 500 ml. 1 patient developed post-operative upper segmental kyphotization, one patient developed anemia, one patient developed atrial fibrillation and one patient developed post-operative seroma. Mean follow-up length was 9 months. Patients with subtotal resection had no evidence of progression of the remaining lesion up to date.
Conclusions: The combined multidisciplinary approach of aggressive thoracic VH, including the intra-operative sclerotization of the tumor is a safe and effective procedure when performed in a dedicated hybrid room.
Purpose: Vertebral hemangiomas account for 2-3% of all spinal tumors. The majority are asymptomatic and incidentally identified on radiographic studies. Approximately 1% become symptomatic and may present with pain and/or neurologic deficits. Our aim was to report the multidisciplinary treatment of aggressive hemangiomas in a hybrid operating room.
Methods: Aggressive hemangiomas treated with a combination of pre-surgical embolisation, surgical decompression and intra-operative sodium tétradécyl sulfate (trombovar®) administration were retrieved. Clinical and radiological data were retrospectively analyzed.
Results: 6 patients were included, with a mean age of 53 years. 3 patients presented with a chronic, progressive myelopathy, 2 patients presented with a rapidly progressing myelopathy requiring urgent decompression and 1 patient presented with isolated dorsal pain without associated deficit. 5 patients had subtotal resections, and 1 patient had an en bloc, complete resection of the lesion. 5 patients had blood losses inferior to 500 ml. 1 patient developed post-operative upper segmental kyphotization, one patient developed anemia, one patient developed atrial fibrillation and one patient developed post-operative seroma. Mean follow-up length was 9 months. Patients with subtotal resection had no evidence of progression of the remaining lesion up to date.
Conclusions: The combined multidisciplinary approach of aggressive thoracic VH, including the intra-operative sclerotization of the tumor is a safe and effective procedure when performed in a dedicated hybrid room.
Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings