open access

Vol 47, No 6 (2013)
OPIS PRZYPADKU
Submitted: 2013-03-03
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The use of calcium phosphate cement in vertebroplasty of the base of odontoid process

Krzysztof Zapałowicz, Maciej Wojdyn, Krzysztof Włodzimierz Zieliński, Dorota Snopkowska-Wiaderna
DOI: 10.5114/ninp.2013.39077
·
Neurol Neurochir Pol 2013;47(6):590-594.

open access

Vol 47, No 6 (2013)
OPIS PRZYPADKU
Submitted: 2013-03-03

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.

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Keywords

vertebroplasty, minimally invasive surgery, fluoroscopic guidance, odontoid, vertebral haemangioma, injectable bone cement

About this article
Title

The use of calcium phosphate cement in vertebroplasty of the base of odontoid process

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 47, No 6 (2013)

Pages

590-594

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

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