Percutaneous vertebroplasty of the C2 body and dens using the anterior oblique ascending transdiscal approach

• Published in: Journal of neuroradiology Vol. 40; no. 3; pp. 211 - 215
• Main Authors: Cohen, M, Zeitoun, D, Blanpain, S, Brochard, C, Lellouche, J, Deramond, H
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.07.2013
• Subjects: Ascending oblique transdiscal approach; Axis, Cervical Vertebra - pathology; Axis, Cervical Vertebra - surgery; Breast Neoplasms - pathology; Carcinoma, Ductal, Breast - secondary; Carcinoma, Ductal, Breast - surgery; Cervical spine; Female; Humans; Middle Aged; Neck Pain - pathology; Neck Pain - surgery; Osteolysis - pathology; Osteolysis - surgery; Percutaneous vertebroplasty; Radiology; Spinal Neoplasms - secondary; Spinal Neoplasms - surgery; Treatment Outcome; Vertebroplasty - methods; computed tomography; CT; Ascending oblique transdiscal approach; second cervical vertebra; Percutaneous vertebroplasty; PVP; Cervical spine; C2
• ISSN: 0150-9861
• DOI: 10.1016/j.neurad.2013.03.002

Summary This first description of percutaneous vertebroplasty (PVP) of the second cervical vertebra (C2) using an ascending oblique transdiscal approach is a case report of a 63-year-old woman who complained of neck pain that was resistant to painkillers and the result of an osteolytic metastatic lesion of C2. PVP was performed using an ascending oblique transdiscal approach, a percutaneous technique that had never been described before. It has since been used in more than 15 patients, resulting in pain relief and stabilization of C2 with good distribution of cement across the vertebral body and dens. Also, there were no complications and no leakage of cement along the path of the needle.