Invasive hemangioma of the tenth thoracic vertebra with spinal cord compression operated by combining laminectomy and vertebroplasty
Keywords:
Vertebral hemangioma, invasive hemangioma, spinal cord compression, laminectomy, vertebroplasty, spinal tumorsAbstract
Introduction: Invasive vertebral body hemangioma is an aggressive variant of vertebral hemangioma. It can cause pain, pathological fractures, segmental instability, and neural compression. It primarily affects the vertebral body, although it can extend to the posterior arch and even the spinal canal. The most common symptoms are localized pain of varying intensity, as well as neurological deficit and radicular manifestations. Magnetic resonance imaging (MRI) images show T1-weighted hyperintensity and enhance with gadolinium. Treatment ranges from observation, endovascular treatment, radiotherapy, and even surgery. The prognosis is generally good if treated appropriately.
Objective: To describe a case diagnosed with invasive T10 hemangioma treated with a combination of vertebroplasty and laminectomy.
Clinical case: A 59-year-old patient with progressively increasing dorsal chest pain and progressive decrease in muscle strength in both lower limbs, leading to confinement in a wheelchair or bed. Tenderness on palpation in the spinous processes of T9, T10, and T11, spastic paraplegia, and sensory level T10. Neuroimaging studies established the diagnosis of an invasive hemangioma of the vertebral body of T10. Combined vertebroplasty with laminectomy was performed. Hyperbaric oxygenation was subsequently combined with rehabilitation treatment. The patient showed signs of improvement in her clinical condition.
Conclusions: Combining vertebroplasty, laminectomy, hyperbaric oxygenation and rehabilitation in cases of invasive hemangioma of vertebral body, contribute to the positive outcome, as was the case in this case.
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Copyright (c) 2025 Yvei González Orlandi, Ricardo Valdés Llerena, Yohandra Joa Díaz, María Teresa Solomón Cardona, Augusto Gaspar Ramírez Rodríguez, Guillermo Viltres Rodríguez
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