Catheter-directed percutaneous transpedicular C2/C3 vertebroplasty in a patient with fibrous dysplasia using seldinger technique.
A 35-year-old man with polyostotic fibrous dysplasia and a massively enlarged skull presented with Lhermitte sensations due to an unstable, mulitseptated, lytic C2/3 vertebral body complex. Enlarged extracranial vasculature made open surgery a high-risk option and limited percutaneous access. A 5F catheter was directed by using a guidewire into the C2/C3 vertebral body complex via a transpedicularly placed biopsy cannula to ensure polymethylmethacrylate deposition throughout the lytic compartments of the vertebral body complex.
Christoforidis
G
G
Department of Radiology, The Ohio State University, Columbus, Ohio 43210, USA. greg.christoforidis@osumc.edu
Dang
D
D
Gabriel
J
J
D000328:Adult; D000792:Angiography; D001843:Bone Cements; D002404:Catheterization; D002574:Cervical Vertebrae / Q000187:drug effects / Q000293:injuries* / Q000473:pathology; D005359:Fibrous Dysplasia, Polyostotic / Q000150:complications* / Q000175:diagnosis; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007267:Injections; D008297:Male; D019904:Polymethyl Methacrylate / Q000008:administration & dosage*; D016103:Spinal Fractures / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D001843:Bone Cements; D019904:Polymethyl Methacrylate