Hernigou P, Djindjian M, Ricolfi F, Dahhan P
Service de chirurgie orthopédique, Hôpital Henri Mondor, Créteil.
Rev Chir Orthop Reparatrice Appar Mot. 1994;80(6):542-50.
Vertebral hemangioma is a benign and relatively frequent lesion. It is rarely associated with medullary compression. Two cases of vertebral hemangioma with progressive neurologic deficit are presented.
Successful treatment was accomplished using pre-operative embolization and vertebrectomy. The tumor was resected by an antero-lateral transthoracic and posterior approach.
The technique of operative management and complications are discussed. Based on these two patients and a review of the literature, the authors recommend that management of patients with progressive neurological deficit should include pre-operative angiography and embolization, decompressive surgery with the approach determined by the degree of vertebral involvement and site of spinal compression.
椎体血管瘤是一种良性且相对常见的病变。它很少与脊髓受压相关。本文报告两例伴有进行性神经功能缺损的椎体血管瘤病例。
通过术前栓塞和椎体切除术成功完成治疗。肿瘤通过经胸前路和后路联合切除。
讨论了手术治疗技术及并发症。基于这两名患者并结合文献回顾，作者建议对伴有进行性神经功能缺损的患者的治疗应包括术前血管造影和栓塞，根据椎体受累程度和脊髓受压部位确定手术入路进行减压手术。
