Iatrogenic vertebral artery injury during cervical spine surgery
Journal Title: Orthopaedics and Surgical Sports Medicine - Year 2018, Vol 1, Issue 1
Abstract
Osteoblastomas are rare benign, primary bone tumors which frequently arise in the spine. Patients often present with dull back pain sometimes associated with painful scoliosis. Neurological manifestations such as radiculopathy or myelopathy are due to mass effect on nerve roots or the spinal cord. Optimal treatment is complete surgical resection, preceded by embolisation. The preoperative radiological assessment is extremly important for identifying anatomical risk factors. Presentation of case: A 19 years-old-man, presenting with a history of cervico-brachial neuralgia and weakness of the right upper limb lasting from 18 mounths. The CT scan showed a bone tumor of the posterior arch of C5 and invading the transverse foramina. While removing the tumor, an injury of the vertebral artery occured. Conclusion: Osteoblastomas have a high risk of relapse and can potentially degenerate in sarcoma. Aggressive total resection is the preferred treatment, but it is risky regarding to the proximity of the vertebral artery, so surgery must be meticulously planned. This case points the radiological, histological and therapeutic features of osteoblastomas and surgical difficulties encountered during resection.
Authors and Affiliations
Mouna Rkhami
Keywords
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- EP ID EP661157
- DOI 10.31579/2641-0427/011.
- Views 75
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