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Samade R, Malik AT, Jain N, et al. Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature. J Craniovertebr Junction Spine. 2020;10(4):259-262doi: 10.4103/jcvjs.JCVJS_106_19.
Samade, R., Malik, A. T., Jain, N., Scharschmidt, T. J., & Yu, E. (2019). Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature. Journal of craniovertebral junction & spine, 10(4), 259-262. https://doi.org/10.4103/jcvjs.JCVJS_106_19
Samade, Richard, et al. "Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature." Journal of craniovertebral junction & spine vol. 10,4 (2019): 259-262. doi: https://doi.org/10.4103/jcvjs.JCVJS_106_19
Samade R, Malik AT, Jain N, Scharschmidt TJ, Yu E. Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature. J Craniovertebr Junction Spine. 2019 Oct-Dec;10(4):259-262. doi: 10.4103/jcvjs.JCVJS_106_19. Epub 2020 Jan 23. PMID: 32089622; PMCID: PMC7008654.
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J Craniovertebr Junction Spine. 2019 Oct-Dec;10(4):259-262. doi: 10.4103/jcvjs.JCVJS_106_19. Epub 2020 Jan 23.

Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature.

Journal of craniovertebral junction & spine

Richard Samade, Azeem Tariq Malik, Nikhil Jain, Thomas J Scharschmidt, Elizabeth Yu

Affiliations

  1. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

PMID: 32089622 PMCID: PMC7008654 DOI: 10.4103/jcvjs.JCVJS_106_19

Abstract

We describe a comprehensive, multidisciplinary treatment approach for lumbar vertebral hemangiomas (VHs) with spinal stenosis and radiculopathy. A 59-year-old female presented with 1 year of pain predominantly in the lower back, with pain in the left buttock and proximal left anterior thigh as well and magnetic resonance imaging of the lumbar spine demonstrated lumbar scoliosis and an L3 vertebral lesion suspicious for hemangioma. A computed tomography guided biopsy was done, which supported the diagnosis. Definitive treatment entailed preoperative angiography and embolization, followed by L3 laminectomy, right L3 pedicle resection, partial L3 corpectomy, L3 vertebral cement augmentation, and L1 to L5 instrumented fusion. By 1-year postoperatively, the patient reported no radicular pain and only mild groin pain attributed to left hip degenerative joint disease. Radiographs 1-year postoperatively confirmed the stability of the instrumented posterior fusion and a magnetic resonance imaging with and without contrast confirmed no VH recurrence. A comprehensive and multidisciplinary approach for the treatment of VHs with neurological symptoms or signs is presented. This approach is recommended to maximize lesion removal, ensure biomechanical stability, and minimize recurrence.

Copyright: © 2020 Journal of Craniovertebral Junction and Spine.

Keywords: Lumbar spine; neoplasm; vertebral hemangioma

Conflict of interest statement

There are no conflicts of interest.

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