dr med. Krzysztof Zapałowicz, Klinika Neurochirurgii i Chirurgii Nerwów Obwodowych, Uniwersytet Medyczny w Łodzi, Uniwersytecki Szpital Kliniczny im. WAM-CSW, ul. Żeromskiego 113, 90-549 Łódź, Polska, e-mail:
Neurol Neurochir Pol. 2013 Nov-Dec;47(6):590-4. doi: 10.5114/ninp.2013.39077.
The authors describe the use of bone cement containing calcium phosphate for vertebroplasty of the cavity in the base of odontoid process. A 23-year-old female patient was operated on by incision in lateral cervical area (anterior open access). After a blunt dissection, the working cannula (Kyphon) was introduced under fluoroscopic guidance through the C2 vertebral body to the cavity in the base of the odontoid process. Intraoperatively, biopsy of the lesion was taken and histo-pathological examination excluded the presence of neoplasm. The cavity, presumably haemangioma, was successfully filled with calcium phosphate bone cement KyphOsTM FS (Ky-phon). The proper filling without paravertebral cement leak was confirmed by postoperative computed tomography (CT). The CT and magnetic resonance imaging performed 9 months after the procedure showed that cement was still present in the cavity. This is the first use of calcium phosphate cement to conduct the vertebroplasty of C2 vertebra.
作者描述了使用含有磷酸钙的骨水泥对齿状突基底部空腔进行椎体成形术。一名 23 岁女性患者在颈侧区行切口（前路开放入路）手术。钝性分离后，在透视引导下将工作套管（Kyphon）通过 C2 椎体引入齿状突基底部的空腔。术中对病变进行活检，组织病理学检查排除了肿瘤的存在。假定为海绵状血管瘤的空腔成功地用磷酸钙骨水泥 KyphOsTM FS（Kyphon）填充。术后计算机断层扫描（CT）证实了适当的填充，没有椎旁水泥渗漏。术后 9 个月进行 CT 和磁共振成像检查显示，空腔内仍有水泥。这是首次使用磷酸钙骨水泥对 C2 椎体进行椎体成形术。
