Journal Information
Vol. 30. Issue 5.
Pages 233-237 (September - October 2019)
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Vol. 30. Issue 5.
Pages 233-237 (September - October 2019)
Case Report
A novel surgical technique for aggressive vertebral hemangiomas
Una nueva técnica quirúrgica para hemangiomas vertebrales agresivos
Suat Canbaya,
Corresponding author
suatcanbay@hotmail.com

Corresponding author.
, Ali Erhan Kayalarb, Gulce Gelc, Hakan Sabuncuoğlud
a Liv Hospital, Ankara, Turkey
b Dr. Abdurrahman Yurtaslanı Onkoloji Hastanesi, Ankara, Turkey
c Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ankara, Turkey
d Ufuk Üniversitesi Tıp Fakültesi Dr. Rıdvan Ege Hastanesi, Ankara, Turkey
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Abstract

Vertebral hemangiomas are relatively common, but those causing spinal cord compression are rare. A 19-year-old male presented with thoracic back pain. The neurologic examination was normal and radiological examinations demonstrated an aggressive vertebral hemangioma centered within the T11 vertebral body. Damaged vertebral bone and soft tissue components of the mass were observed in the epidural space. Surgery was performed using a new technique involving radiofrequency ablation, injection of a hemostatic agent (FLOSEAL, Baxter, USA), and bone autograft placement in the affected vertebral body. There were no complications intra- or postoperatively, and the patient's back pain resolved completely during the postsurgical period. Bleeding is a serious issue in cases of aggressive vertebral hemangioma. This new technique provides improved bleeding control and strengthens the affected vertebra through autograft placement.

Keywords:
Aggressive vertebral hemangioma
Hemostatic agent
Radiofrequency ablation
Autograft
Resumen

Los hemangiomas vertebrales son relativamente comunes, pero los que causan la compresión de la médula espinal son raros. Un hombre de 19 años presentó dolor de espalda torácica. El examen neurológico fue normal y los exámenes radiológicos demostraron un hemangioma vertebral agresivo centrado en el cuerpo vertebral T11. Se observaron componentes óseos y vertebrales dañados de la masa en el espacio epidural. La cirugía se realizó utilizando una nueva técnica que incluía ablación por radiofrecuencia, inyección de un agente hemostático (FLOSEAL, Baxter, EE. UU.) Y colocación de autoinjerto de hueso en el cuerpo vertebral afectado. No hubo complicaciones intra y postoperatorias, y el dolor de espalda del paciente se resolvió completamente durante el período posquirúrgico. El sangrado es un problema grave en los casos de hemangioma vertebral agresivo. Esta nueva técnica proporciona un mejor control de la hemorragia y fortalece la vértebra afectada a través de la colocación del autoinjerto.

Palabras clave:
Hemangioma vertebral agresivo
Agente hemostático
Ablación por radiofrecuencia
Autoinjerto

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