Total spondylectomy of a symptomatic hemangioma of the lumbar spine.
A vertebral hemangioma with dural compression and neurological deficit is rare. We report a symptomatic lumbar vertebral hemangioma which was successfully managed with total spondylectomy. The patient was a 31-year-old man whose chief complaint was low back pain. He had a slight sensory disturbance in the right thigh. Plain radiography and magnetic resonance imaging (MRI) revealed a tumor in the second lumbar vertebra, which extended into the spinal canal, compressing the dura. A percutaneous needle biopsy did not provide a pathological diagnosis. Before surgery, the arteries feeding the tumor were embolized using coils. We performed a total spondylectomy of the second lumbar vertebra with anterior reconstruction with a glass ceramic spacer and posterior instrumentation. The intraoperative pathological examination revealed a hemangioma of the lumbar spine. At the 4-year follow-up examination, the patient is completely asymptomatic without evidence of tumor recurrence.
Inoue
Toshiyuki
T
Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, 500-1194, Japan.
Miyamoto
Kei
K
Kodama
Hirotaka
H
Hosoe
Hideo
H
Shimizu
Katsuji
K
D000328:Adult; D000792:Angiography / Q000379:methods; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010524:Peripheral Nervous System Neoplasms / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods