A Child with a Rare Extraosseous Extension and Pathologic Fracture from a Vertebral Hemangioma: A Case Report.

JBJS Case Connector
Pawin GajaseniStuart Weinstein

Abstract

We present a case of a pathologic vertebral fracture and encroachment into the spinal canal from a vertebral hemangioma in a 13-year-old boy. The original approach of embolization followed by an anterior-posterior resection and stabilization through a costotransversectomy had to be converted intraoperatively to a combined anterior and posterior approach secondary to excessive bleeding. Because of the hypervascularity and the extensive nature of aggressive vertebral hemangiomas, surgeons attempting procedures similar to the case described herein must be prepared to adapt to the circumstances when preoperative embolization is not totally effective. Surgical technique, proper anesthesia, and patient clotting capacity are important factors to consider.

References

Nov 1, 1990·Radiology·J D LaredoJ M Tubiana
Oct 1, 1986·Radiology·J D LaredoJ J Merland
Sep 1, 1993·Journal of Vascular and Interventional Radiology : JVIR·T P SmithG B Hieshima
Aug 1, 1996·AJR. American Journal of Roentgenology·D P Friedman
Oct 23, 1997·The Journal of Bone and Joint Surgery. British Volume·V W NgA J Moore
May 1, 1961·Journal of Neurosurgery·E G KRUEGERC WEINSTEIN
Dec 10, 2008·The Orthopedic Clinics of North America·Norio KawaharaSatoru Demura
Mar 11, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Augustine A AdeoluGodwin I Ogbole
Jun 19, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Satoshi KatoKatsuro Tomita
Apr 23, 2011·AJR. American Journal of Roentgenology·Hee-Jin ParkJoon-Hee Jo
Jan 23, 2014·The Spine Journal : Official Journal of the North American Spine Society·Sarat Poodipedi ChandraBhawani Shankar Sharma
May 28, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jacob CherianAndrew Jea
Jun 23, 2015·Asian Spine Journal·Yohan RobinsonJohan Willander

❮ Previous
Next ❯

Citations

Jun 7, 2019·The Journal of Bone and Joint Surgery. American Volume·Ben WangZhongjun Liu

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.