Santagada Domenico Alessandro, Perna Andrea, Meluzio Maria Concetta, Ciolli Gianluca, Proietti Luca, Tamburrelli Francesco Ciro
Istituto di Clinica Ortopedica, UOC di Chirurgia Vertebrale, Fondazione Policlinico Universitario "A.Gemelli" IRCCS, Rome; Università Cattolica Del Sacro Cuore, Rome, Italy.
Orthop Rev (Pavia). 2020 Jun 26;12(Suppl 1):8685. doi: 10.4081/or.2020.8685. eCollection 2020 Jun 29.
Vertebral Hemangioma (VH) is a benign tumor usually symptomless and discovered incidentally. Pregnancy, because of several hormonal and physiologic changes, is a recognized risk factor coinciding with the development of a rapid onset of neurological symptoms in patients affected by VH. In the Literature, sporadic cases of neurological symptoms have been described, which occurred during pregnancy, but only rarely the onset of symptoms was reported after pregnancy and childbirth. Usually surgical treatment is reserved for severe cases with rapid onset of neurological symptoms. However, the use of conservative treatments is still a topic of debate In the present study, we report a series of patients affected by VH become symptomatic during or after pregnancy along with a systematic review of the Literature.
椎体血管瘤（VH）是一种通常无症状的良性肿瘤，多为偶然发现。由于多种激素和生理变化，妊娠是一个公认的风险因素，与VH患者快速出现神经症状有关。文献中描述了妊娠期间出现神经症状的散发病例，但产后出现症状的情况很少报道。通常手术治疗仅适用于神经症状迅速出现的严重病例。然而，保守治疗的应用仍是一个有争议的话题。在本研究中，我们报告了一系列在妊娠期间或产后出现症状的VH患者，并对文献进行了系统综述。
