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Percutaneous vertebroplasty at C2: case report of a patient with multiple myeloma and a literature review

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Abstract

Percutaneous vertebroplasty (PVP) of the axis is a challenging procedure which may be performed by a percutaneous or a transoral approach. There are few reports of PVP at the C2 level. We report a case of unstable C2 fracture treated with the percutaneous approach. The fracture was the first manifestation of multiple myeloma in a previously healthy 47-year-old woman. After local radiotherapy and chemotherapy, the fracture was still unstable and the patient had been continuously wearing a stiff cervical collar for 9 months. Complication-free PVP resulted in pain relief and stabilization and use of the cervical collar could be discontinued. At 18 months follow-up the patient remained free from pain, the fracture was stable and she had returned to work. The purpose of this article is to present the technical facts and to highlight the benefits and potential complications of the procedure. The technical characteristics of the procedure, the indication and results of the present case are discussed together with previously reported cases of PVP treatment at C2.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Interventional Neuroradiology, Gothenburg, Sweden

    Miriam Rodriguez-Catarino

  2. Department of Medicine, Section of Hematology and Coagulation, Gothenburg, Sweden

    Cecilie Blimark, Ulf-H Mellqvist & Stig Rödjer

  3. Department of Orthopedic Surgery, Orthopedic Surgery, Gothenburg, Sweden

    Jan Willén

Authors
  1. Miriam Rodriguez-Catarino
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  2. Cecilie Blimark
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  3. Jan Willén
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  4. Ulf-H Mellqvist
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  5. Stig Rödjer
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Corresponding author

Correspondence to Miriam Rodriguez-Catarino.

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Rodriguez-Catarino, M., Blimark, C., Willén, J. et al. Percutaneous vertebroplasty at C2: case report of a patient with multiple myeloma and a literature review. Eur Spine J 16 (Suppl 3), 242–249 (2007). https://doi.org/10.1007/s00586-006-0256-z

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  • DOI: https://doi.org/10.1007/s00586-006-0256-z

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