In:
JBJS Case Connector, Ovid Technologies (Wolters Kluwer Health), Vol. 7, No. 4 ( 2017-12), p. e86-e86
Abstract:
We present a case of a pathologic vertebral fracture and encroachment into the spinal canal from a vertebral hemangioma in a 13-year-old boy. The original approach of embolization followed by an anterior-posterior resection and stabilization through a costotransversectomy had to be converted intraoperatively to a combined anterior and posterior approach secondary to excessive bleeding. Conclusion: Because of the hypervascularity and the extensive nature of aggressive vertebral hemangiomas, surgeons attempting procedures similar to the case described herein must be prepared to adapt to the circumstances when preoperative embolization is not totally effective. Surgical technique, proper anesthesia, and patient clotting capacity are important factors to consider.
Type of Medium:
Online Resource
ISSN:
2160-3251
DOI:
10.2106/JBJS.CC.17.00057
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2017
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