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The use of calcium phosphate cement in vertebroplasty of the base of odontoid process
Affiliations- Klinika Neurochirurgii i Chirurgii Nerwów Obwodowych Uniwersytetu Medycznego w Łodzi, Uniwersytecki Szpital Kliniczny im. WAM-CSW, Łódź
- Zakład Patomorfologu i Cytopatologii Klinicznej Uniwersytetu Medycznego w Łodzi, Uniwersytecki Szpital Kliniczny im. WAM-CSW, Łódź
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Abstract
The authors describe the use of bone cement containing calcium phosphate for vertebroplasty of the cavity in the base of odontoid process. A 23-year-old female patient was operated on by incision in lateral cervical area (anterior open access). After a blunt dissection, the working cannula (Kyphon) was introduced under fluoroscopic guidance through the C2 vertebral body to the cavity in the base of the odontoid process. Intraoperatively biopsy of the lesion was taken and histopathological examination excluded the presence of neoplasm. The cavity, presumably haemangioma, was successfully filled with calcium phosphate bone cement KyphOs™ FS (Kyphon). The proper filling without paravertebral cement leak was confirmed by postoperative computed tomography (CT). The CT and magnetic resonance imaging performed 9 months after the procedure showed that cement was still present in the cavity. This is the first use of calcium phosphate cement to conduct the vertebroplasty of C2 vertebra.
Abstract
The authors describe the use of bone cement containing calcium phosphate for vertebroplasty of the cavity in the base of odontoid process. A 23-year-old female patient was operated on by incision in lateral cervical area (anterior open access). After a blunt dissection, the working cannula (Kyphon) was introduced under fluoroscopic guidance through the C2 vertebral body to the cavity in the base of the odontoid process. Intraoperatively biopsy of the lesion was taken and histopathological examination excluded the presence of neoplasm. The cavity, presumably haemangioma, was successfully filled with calcium phosphate bone cement KyphOs™ FS (Kyphon). The proper filling without paravertebral cement leak was confirmed by postoperative computed tomography (CT). The CT and magnetic resonance imaging performed 9 months after the procedure showed that cement was still present in the cavity. This is the first use of calcium phosphate cement to conduct the vertebroplasty of C2 vertebra.
Keywords
vertebroplasty, minimally invasive surgery, fluoroscopic guidance, odontoid, vertebral haemangioma, injectable bone cement
About this articleTitle
The use of calcium phosphate cement in vertebroplasty of the base of odontoid process
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
590-594
Page views
316
Article views/downloads
527
DOI
10.5114/ninp.2013.39077
Bibliographic record
Neurol Neurochir Pol 2013;47(6):590-594.
Keywords
vertebroplasty
minimally invasive surgery
fluoroscopic guidance
odontoid
vertebral haemangioma
injectable bone cement
Authors
Krzysztof Zapałowicz
Maciej Wojdyn
Krzysztof Włodzimierz Zieliński
Dorota Snopkowska-Wiaderna
