Transoral C2 biopsy and vertebroplasty.

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