Chopra Harman, Hoffman Haydn, Richardson Timothy E, Galgano Michael A
Department of Neurosurgery, SUNY Upstate, Syracuse, New York, United States.
Department of Pathology, SUNY Upstate, Syracuse, New York, United States.
Surg Neurol Int. 2021 Feb 17;12:56. doi: 10.25259/SNI_752_2020. eCollection 2021.
Vertebral hemangiomas (VHs) are common benign tumors that only rarely become symptomatic. There is a paucity of data regarding their surgical management and outcomes. Here, we reported a case involving an aggressive cervical VH, discussed its surgical management and outcomes, and reviewed the literature.
We assessed the clinical, radiological, and surgical outcomes for a patient with an aggressive cervical VH. We also performed a systematic review of the literature according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to describe surgical outcomes for symptomatic VH.
A total of 154 studies including 535 patients with VH were included in the study. The majority of patients were female (62.8%), the average age was 43 years, and the thoracic spine was most commonly involved (80.6%). Utilizing Odom's criteria, outcomes were excellent in 81.7% (95% CI 73.2-90.2) of cases. For those presenting with myelopathy ( = 0.045) or focal neurological deficits ( = 0.018), outcomes were less likely to be excellent. Preoperative embolization was not associated with excellent outcome ( = 0.328).
Surgical outcomes for VH are predominantly favorable, but aggressive VHs have the potential to cause significant residual postoperative neurological morbidity.
椎体血管瘤（VHs）是常见的良性肿瘤，很少出现症状。关于其手术治疗及结果的数据较少。在此，我们报告一例侵袭性颈椎椎体血管瘤病例，讨论其手术治疗及结果，并复习相关文献。
我们评估了一例侵袭性颈椎椎体血管瘤患者的临床、影像学及手术结果。我们还根据系统评价和Meta分析的首选报告项目指南对文献进行了系统回顾，以描述症状性椎体血管瘤的手术结果。
该研究共纳入154项研究，包括535例椎体血管瘤患者。大多数患者为女性（62.8%），平均年龄43岁，最常累及胸椎（80.6%）。采用奥多姆标准，81.7%（95%CI 73.2 - 90.2）的病例结果为优。对于出现脊髓病（P = 0.045）或局灶性神经功能缺损（P = 0.018）的患者，结果不太可能为优。术前栓塞与良好结果无关（P = 0.328）。
椎体血管瘤的手术结果大多良好，但侵袭性椎体血管瘤有可能导致术后显著的残余神经功能障碍。
