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.
Similar content being viewed by others
References
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Acknowledgement
S.G. Wetzel was supported, in part, by the Swiss National Science Foundation (grant 3200-066634/1).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-004-0159-5