Percutaneous cervical vertebroplasty in a multifunctional image-guided therapy suite: hybrid lateral approach to C1 and C4 under CT and fluoroscopic guidance.
A 76-year-old patient suffering from two painful osteolytic metastases in C1 and C4 underwent percutaneous vertebroplasty by a hybrid technique in a multi-functional image-guided therapy suite (MIGTS). Two trocars were first placed into the respective bodies of C1 and C4 under fluoroscopic computed tomography guidance using a lateral approach. Thereafter, the patient was transferred on a moving table to the digital subtraction angiography unit in the same room for implant injection. Good pain relief was achieved by this minimally invasive procedure without complications. A hybrid approach for vertebroplasty in a MIGTS appears to be safe and feasible and might be indicated in selected cases for difficult accessible lesions.
Huegli
R W
RW
Department of Radiology, University Hospital of Basel, Basel, Switzerland. rhuegli@uhbs.ch
Schaeren
S
S
Jacob
A L
AL
Martin
J B
JB
Wetzel
S G
SG
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D000368:Aged; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D009382:Neoplasms, Unknown Primary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D010146:Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011857:Radiographic Image Interpretation, Computer-Assisted; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D014057:Tomography, X-Ray Computed