Swarnkar Amar, Zain Sultan, Christie Omari, Mirchia Kavya
Neuroradiology, State University of New York Upstate Medical University, Syracuse, USA.
Diagnostic Radiology, State University of New York Upstate Medical University, Syracuse, USA.
Cureus. 2022 May 29;14(5):e25463. doi: 10.7759/cureus.25463. eCollection 2022 May.
Minimally invasive vertebroplasty has arisen as a viable alternative treatment for pathologic vertebral body fractures. Vertebroplasty is well documented in the thoracic and lumbar spine from the posterolateral approach, but is rarely employed in the cervical spine in consideration of numerous critical neural and vascular structures that must be avoided. Careful technique and usage of imaging is necessary to maneuver crucial structures and minimize risk of complication. In the posterolateral approach, the lesion has to lie in the trajectory of a straight needle, in the lateral aspect of the C2 vertebra. This approach may limit adequate treatment of lesions that are located more medially. We describe a unique case report of successful and safe posterolateral approach treatment of a destructive medial C2 vertebra metastatic lesion using a curved needle.
微创椎体成形术已成为病理性椎体骨折的一种可行替代治疗方法。椎体成形术经后外侧入路在胸腰椎的应用已有充分记录，但鉴于必须避开众多关键的神经和血管结构，在颈椎中很少使用。谨慎的技术操作和影像学的运用对于操控关键结构并将并发症风险降至最低是必要的。在后外侧入路中，病变必须位于直针的轨迹上，即在C2椎体的外侧。这种入路可能会限制对更内侧病变的充分治疗。我们描述了一例独特的病例报告，使用弯针经后外侧入路成功且安全地治疗了C2椎体内侧破坏性转移瘤。
