[Neuro-aggressive dorsal vertebral hemangioma and vertebrectomy. Apropos of 2 cases. Review of the literature].
OBJECTIVE
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.


RESULTS
Successful treatment was accomplished using pre-operative embolization and vertebrectomy. The tumor was resected by an antero-lateral transthoracic and posterior approach.


CONCLUSIONS
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.
Hernigou
P
P
Service de chirurgie orthopédique, Hôpital Henri Mondor, Créteil.
Djindjian
M
M
Ricolfi
F
F
Dahhan
P
P
D000293:Adolescent; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*
Hémangiome vertébral dorsal neuro-agressif et vertébrectomie. A propos de 2 cas. Revue de la littérature.