[Treatment of atlantoaxial hemangioma with vertebroplasty through anterior approach].
OBJECTIVE
To investigate the diagnostic and therapeutic experience for the atlantoaxial hemangioma with vertebral plasty through anterior approach.


METHODS
From January 2005 to April 2012,6 cases were initially diagnosed as atlantoaxial hemangioma under MRI,and treated with vertebroplasty through anterior approach. There were 2 males and 4 females ranging in age from 35 to 67 years old with an average of 49 years old. Six patients were followed up by out-patient clinic or telephone after operation for 6 months,and WHO standard clinical effects were used to assesse pain degree.


RESULTS
All the hemangioma were confirmed by puncture. The mean operative time and injection amount of bone cement were 58 min and 2.6 ml,repectively. Postoperative X-ray or CT scan showed that the bone cement filled focus satisfactorily. All patients were followed up from 6 to 48 months with average of 28 months. According to the pain degree of WHO standard, 2 cases got partly relief and 4 got completely relief and up to final follow-up,the results were still stable.


CONCLUSIONS
Treatment of atlantoaxial hemangioma with vertebroplasty through anterior approach is a safe and effective method. And correct puncture, adequate injection time and volume of bone cement are keys to successful.
Second Department of Orthopaedics Lihuili Hospital of Ningbo Medical Center Ningbo 315040 Zhejiang China.
Shi-Rong
SR
Gu
Second Department of Orthopaedics Lihuili Hospital of Ningbo Medical Center Ningbo 315040 Zhejiang China.
Ming
M
Zhang
Second Department of Orthopaedics Lihuili Hospital of Ningbo Medical Center Ningbo 315040 Zhejiang China.
Bin-Hui
BH
Chen
Second Department of Orthopaedics Lihuili Hospital of Ningbo Medical Center Ningbo 315040 Zhejiang China.
Pei-Ming
PM
Sang
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013125:Spinal Neoplasms / Q000601:surgery*; D054854:Vertebroplasty / Q000379:methods*