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Percutaneous Cervical Vertebroplasty in a MultifunctionalImage-Guided Therapy Suite: Hybrid Lateral Approach to C1 andC4 Under CT and Fluoroscopic Guidance

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Abstract

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.

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References

  1. A Cotten N Boutry B Cortet et al. (1998) ArticleTitlePercutaneous vertebroplasty: state of the art Radiographics 18 311–320 Occurrence Handle1:STN:280:DyaK1c7pslGntg%3D%3D Occurrence Handle10.1148/radiographics.18.2.9536480 Occurrence Handle9536480

    Article  CAS  PubMed  Google Scholar 

  2. A Gangi S Guth JP Imbert et al. (2003) ArticleTitlePercutaneous vertebroplasty: indications, technique, and results Radiographics 23 e10 Occurrence Handle10.1148/rg.e10 Occurrence Handle12889460

    Article  PubMed  Google Scholar 

  3. FC Tong HJ Cloft GJ Joseph et al. (2000) ArticleTitleTransoral approach to cervical vertebroplasty for multiple myeloma Am J Roentgenol 175 1322–1324 Occurrence Handle1:STN:280:DC%2BD3M%2FisVyjtA%3D%3D Occurrence Handle10.2214/ajr.175.5.1751322

    Article  CAS  Google Scholar 

  4. AL Jacob P Regazzoni W Steinbrich et al. (2000) ArticleTitleThe multifunctional therapy room of the future: image guidance, interdisciplinarity, integration and impact on patient pathways Eur Radiol 10 1763–1769 Occurrence Handle1:STN:280:DC%2BD3M7psVarsA%3D%3D Occurrence Handle10.1007/s003300000485 Occurrence Handle11097404

    Article  CAS  PubMed  Google Scholar 

  5. P Messmer AL Jacob E Fries et al. (2001) ArticleTitle[Technology integration and process management. Concept and implementation of a new platform for simultaneous diagnosis and therapy of acutely ill and injured patients and for elective computer assisted surgery (CAS)] Unfallchirurg 104 1025–1030 Occurrence Handle1:STN:280:DC%2BD3Mnks12kug%3D%3D Occurrence Handle10.1007/s001130170047 Occurrence Handle11699300

    Article  CAS  PubMed  Google Scholar 

  6. H Deramond C Depriester P Galibert et al. (1998) ArticleTitlePercutaneous vertebroplasty with polymethylmethacrylate. Technique, indications, and results Radiol Clin North Am 36 533–546 Occurrence Handle1:STN:280:DyaK1c3lvFemuw%3D%3D Occurrence Handle10.1016/S0033-8389(05)70042-7 Occurrence Handle9597071

    Article  CAS  PubMed  Google Scholar 

  7. JB Martin B Jean K Sugiu et al. (1999) ArticleTitleVertebroplasty: clinical experience and follow-up results Bone 25 11S–15S Occurrence Handle1:STN:280:DyaK1MzosFCnuw%3D%3D Occurrence Handle10.1016/S8756-3282(99)00126-X Occurrence Handle10458267

    Article  CAS  PubMed  Google Scholar 

  8. SG Wetzel JB Martin T Somon et al. (2002) ArticleTitlePainful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty Spine 27 E493–E495 Occurrence Handle10.1097/00007632-200211150-00022 Occurrence Handle12436010

    Article  PubMed  Google Scholar 

  9. P Gailloud JB Martin A Olivi et al. (2002) ArticleTitleTransoral vertebroplasty for a fractured C2 aneurysmal bone cyst J Vasc Intervent Radiol 13 340–341 Occurrence Handle10.1016/S1051-0443(07)61733-3

    Article  Google Scholar 

  10. JB Martin P Gailloud PY Dietrich et al. (2002) ArticleTitleDirect transoral approach to C2 for percutaneous vertebroplasty Cardiovasc Intervent Radiol 25 517–519 Occurrence Handle10.1007/s00270-001-0122-7 Occurrence Handle12357314

    Article  PubMed  Google Scholar 

  11. A Gangi BA Kastler JL Dietemann (1994) ArticleTitlePercutaneous vertebroplasty guided by a combination of CT and fluoroscopy Am J Neuroradiol 15 83–86 Occurrence Handle1:STN:280:DyaK2c7ovFCktQ%3D%3D Occurrence Handle8141070

    CAS  PubMed  Google Scholar 

  12. P Brugieres A Gaston MC Voisin et al. (1992) ArticleTitleCT-guided percutaneous biopsy of the cervical spine: a series of 12 cases Neuroradiology 34 358–360 Occurrence Handle1:STN:280:DyaK38vgvFSgtA%3D%3D Occurrence Handle10.1007/BF00588205 Occurrence Handle1528456

    Article  CAS  PubMed  Google Scholar 

  13. SJ Breusch KD Kuhn (2003) ArticleTitle[Bone cements based on polymethylmethacrylate] Orthopade 32 41–50 Occurrence Handle1:STN:280:DC%2BD3s%2FkslKhuw%3D%3D Occurrence Handle10.1007/s00132-002-0411-0 Occurrence Handle12557085

    Article  CAS  PubMed  Google Scholar 

  14. SM Schnurer U Gopp KD Kuhn et al. (2003) ArticleTitle[Bone substitutes] Orthopade 32 2–10 Occurrence Handle1:STN:280:DC%2BD3s%2FkslKhtg%3D%3D Occurrence Handle10.1007/s00132-002-0407-9 Occurrence Handle12557080

    Article  CAS  PubMed  Google Scholar 

  15. JK McGraw EV Heatwole BT Strnad et al. (2002) ArticleTitlePredictive value of intraosseous venography before percutaneous vertebroplasty J Vasc Intervent Radiol 13 149–153 Occurrence Handle10.1016/S1051-0443(07)61931-9

    Article  Google Scholar 

  16. JK McGraw BT Strnad SB Patzik et al. (2000) ArticleTitleCarbon dioxide and gadopentetate dimeglumine venography to guide percutaneous vertebroplasty Cardiovasc Intervent Radiol 23 485–487 Occurrence Handle1:STN:280:DC%2BD3M3lsl2htw%3D%3D Occurrence Handle10.1007/s002700010112 Occurrence Handle11232902

    Article  CAS  PubMed  Google Scholar 

  17. SM Belkoff JM Mathis LE Jasper et al. (2001) ArticleTitleThe biomechanics of vertebroplasty. The effect of cement volume on mechanical behavior Spine 26 1537–1541 Occurrence Handle1:STN:280:DC%2BD3Mvht1Ontw%3D%3D Occurrence Handle10.1097/00007632-200107150-00007 Occurrence Handle11462082

    Article  CAS  PubMed  Google Scholar 

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Acknowledgement

S.G. Wetzel was supported, in part, by the Swiss National Science Foundation (grant 3200-066634/1).

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Correspondence to R.W. Huegli.

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Huegli, R., Schaeren, S., Jacob, A. et al. Percutaneous Cervical Vertebroplasty in a MultifunctionalImage-Guided Therapy Suite: Hybrid Lateral Approach to C1 andC4 Under CT and Fluoroscopic Guidance. Cardiovasc Intervent Radiol 28, 649–652 (2005). https://doi.org/10.1007/s00270-004-0159-5

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