Authors:
Ian A. Kaminsky Department of Neuroradiology, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA
Weill Cornell Medical Center New York Presbyterian Hospital, 525 E. 68th St. Starr Pavilion, New York, NY, USA

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Roger Härtl Department of Neurosurgery, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA

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Dimitri Sigounas Department of Neurosurgery, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA

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Stefan Mlot ENT, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA

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Athos Patsalides Department of Neurosurgery, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA
Interventional Neuroradiology, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY, USA

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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 transoral 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.

  • 1. A.K.P. Wu 2007 Fluoroscopic-guided biopsy for pathological fracture of C2: transoral approach J HK Coll Radiol 10 85 87.

  • 2. A.S. Reddy 2005 CT guided direct transoral approach to C2 for percutaneous vertebroplasty Pain Physician 8 235 238.

  • 3. R. Sinigaglia 2009 Transoral kyphoplasty for tumors in C2 J Bone Joint Surg Br 91-B 107.

  • 4. F.C. Tong 2000 Transoral approach to cervical vertebroplasty for multiple myeloma AJR 175 1322 1324.

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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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