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Title of Journal: Eur Spine J

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Abbravation: European Spine Journal

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Springer Berlin Heidelberg

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DOI

10.1002/bip.21061

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1432-0932

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Hypervascular cervical spine metastases embolizat

Authors: J Oppermann J Bredow J Siewe P Eysel T Koy
Publish Date: 2015/01/08
Volume: 24, Issue: 4, Pages: 580-584
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Abstract

Spinal metastases are common in patients with cancer Following lung and liver spine is the most common site for cancers to metastasize Many of them are hypervascularized These cases are a particular challenge for the surgeon and represent a significant danger of massive blood loss during surgery Hypervascularized metastases of the cervical spine also include the risk of postoperative bleeding with severe neurological impairmentWe report a case of a 67yearold women with breast cancer BC metastasis within the vertebral bodies of C3 and C4 with nearly complete bony destruction of the ventral column and intraspinal tumor masses compressing the spinal cord at level C3 and C4 The hypervascularized tumor was supplied by multiple minor vessels from both vertebral arteries too small to be coiled individually Due to an allergy to aspirin intravascular stenting of the vertebral arteries was not an option We decided to perform a preoperative direct injection of onyx18 for embolization of the tumor

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