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Total En Bloc Spondylectomy for Locally Aggressive Vertebral Hemangioma Causing Neurological Deficits
Joint Authors
Mikami, Shuji
Matsumoto, Morio
Ogawa, Ryo
Hikata, Tomohiro
Fujita, Nobuyuki
Iwanami, Akio
Watanabe, Kota
Nakamura, Masaya
Toyama, Yoshiaki
Ishii, Ken
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Vertebral hemangiomas are common; however, aggressive vertebral hemangiomas with extraosseous extensions causing neurological deficits are rare.
The treatment for this subtype of hemangioma remains controversial, since there are few reports on long-term clinical outcomes or tumor recurrence rates.
We describe a case of aggressive vertebral hemangioma treated by total en bloc spondylectomy, with a literature review focusing on long-term recurrence.
A 52-year-old male with a two-month history of numbness in the bilateral lower extremities was referred to our hospital.
Imaging studies showed a tumor originating in the T9 vertebra and extending to the T8 and T10 vertebrae, with extraosseous extension causing spinal-cord compression.
Ten months after onset, the patient presented with progressive paraparesis and hypalgesia.
Total en bloc spondylectomy was performed, and pathology was consistent with cavernous hemangioma.
Motor and sensory deficits improved significantly, and no signs of recurrence are seen at 2.5 years after operation.
A review of literature revealed a recurrence rate of 12.7% (10/79 cases).
The available evidence indicates satisfactory long-term outcomes for total tumor resection without adjuvant radiotherapy.
American Psychological Association (APA)
Ogawa, Ryo& Hikata, Tomohiro& Mikami, Shuji& Fujita, Nobuyuki& Iwanami, Akio& Watanabe, Kota…[et al.]. 2015. Total En Bloc Spondylectomy for Locally Aggressive Vertebral Hemangioma Causing Neurological Deficits. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1059533
Modern Language Association (MLA)
Ogawa, Ryo…[et al.]. Total En Bloc Spondylectomy for Locally Aggressive Vertebral Hemangioma Causing Neurological Deficits. Case Reports in Orthopedics No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1059533
American Medical Association (AMA)
Ogawa, Ryo& Hikata, Tomohiro& Mikami, Shuji& Fujita, Nobuyuki& Iwanami, Akio& Watanabe, Kota…[et al.]. Total En Bloc Spondylectomy for Locally Aggressive Vertebral Hemangioma Causing Neurological Deficits. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1059533
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059533