Turkish Neurosurgery 2013 , Vol 23 , Num 5
Surgical Management of Symptomatic T8 Vertebral Hemangioma: Case Report and Review of the Literature
Bulent TUCER1, Mehmet Ali EKICI2, Ahmet MENKU1, Rahmi Kemal KOC1, Bulent GUCLU2
1Erciyes University, Faculty of Medicine, Department of Neurosurgery, Kayseri, Turkey
2Sevket Yilmaz Training and Research Hospital, Department of Neurosurgery, Bursa, Turkey
DOI : 10.5137/1019-5149.JTN.6371-12.1 Vertebral hemangiomas are benign vascular lesions of the vertebral column; only 0.9-1.2% of all vertebral hemangiomas cause spinal cord compression. We report a 34-year-old female who was admitted to the neurosurgery clinic with a history of back pain, poor quality of life and easy fatigability for 1.5 years. Her medical history revealed a fall from a height of 2 meters 1.5 years ago. Neurology examination revealed bilateral hypoesthesia below the T8 level and hyperactive deep tendon reflexes in her left leg. Computed tomography scan of the thoracic spine showed T8 vertebral hemangioma, and magnetic resonance imaging showed a T8 hemangioma compressing the spinal cord. Surgical intervention was planned and T8 total laminectomy was performed. The tumor extending into the anterior spinal cord was resected, and T8 vertebroplasty with short segment posterior stabilization and fusion was performed. We aimed to present a new treatment approach for symptomatic vertebral hemangiomas and reviewed the relevant literature. Keywords : Vertebral hemangioma, Posterior stabilization, Vertebroplasty, Total laminectomy
Corresponding author : Mehmet Ali Ekıcı, mehmetali.ekici@gmail.com