Publication Type Academic Article
Authors Kaminsky I, Härtl R, Sigounas D, Mlot S, Patsalides A
Journal Interv Med Appl Sci
Volume 5
Issue 2
Pagination 76-80
Date Published 07/04/2013
ISSN 2061-1617
Abstract Pathologic fractures involving the C2 vertebral body and odontoid process pose a unique dilemma, as the surgical approach for direct odontoid process screw fixation has several limitations. There have been a small number of transoral approach C2 vertebroplasty or kyphoplasty reported in the literature. Previous attempts were performed utilizing fluoroscopy or CT guidance. We report a case of a fluoroscopically guided transor-al approach vertebroplasty in a patient with a lytic lesion involving the C2 vertebral body, extending into the odontoid process with an underlying pathologic fracture. This case is unique as two separate punctures were required in order to adequately stabilize the pathologic fracture, CTA was performed preoperatively to better evaluate regional vasculature, and a post-procedure rotational flat panel CT was performed to assess cement placement.
DOI 10.1556/IMAS.5.2013.2.4
PubMed ID 24265894
PubMed Central ID PMC3831803
Back to Top