Authors: C Druschel K D Schaser I Melcher N P Haas Alexander C Disch
Publish Date: 2011/02/05
Volume: 131, Issue: 7, Pages: 977-981
Abstract
Kypho and vertebroplasty are widely accepted for treating patients suffering from pathologic thoracolumbar lesions in particular diffuse metastaticinduced fractures They provide rapid pain relief and the restoration of spinal stability In the cervical spine attempts have been made to use cement augmentation for these indications However the cervical spine’s anatomy complicates the transpedicular approach as well as the preformation of a vertebral body cavity and the application of bone cement We report the case of a 46yearold woman suffering from symptomatic C2 and C5 osteolysis caused by metastatic breast cancer Following a surgical staging and classification TokuhashiScore that indicated palliative procedures we performed a C2 and C5 kyphoplasty using one minimalinvasive anterior approach through a small incision We observed an uneventful procedure and postoperative course as well as immediate pain relief and patient mobilization Last patient followup at 3 months showed an excellent outcome Our observations showed cervical spine kyphoplasty via a minimally invasive anterior approach to be feasible successful and safe surgical method in the interdisciplinary palliative treatment
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