Journal article
Surgical management of symptomatic vertebral hemangiomas: A single institution experience and literature review
The spine journal, Vol.23(9), pp.1243-1254
09/2023
DOI: 10.1016/j.spinee.2023.04.002
PMID: 37059306
Abstract
Vertebral hemangiomas (VHs), formed from a vascular proliferation in bone marrow spaces limited by bone trabeculae, are the most common benign tumors of the spine. While most VHs remain clinically quiescent and often only require surveillance, rarely they may cause symptoms. They may exhibit active behaviors, including rapid proliferation, extending beyond the vertebral body, and invading the paravertebral and/or epidural space with possible compression of the spinal cord and/or nerve roots ("aggressive" VHs). An extensive list of treatment modalities is currently available, but the role of techniques such as embolization, radiotherapy, and vertebroplasty as adjuvants to surgery has not yet been elucidated. There exists a need to succinctly summarize the treatments and associated outcomes to guide VH treatment plans. In this review article, a single institution's experience in the management of symptomatic VHs is summarized along with a review of the available literature on their clinical presentation and management options, followed by a proposal of a management algorithm.
Details
- Title: Subtitle
- Surgical management of symptomatic vertebral hemangiomas: A single institution experience and literature review
- Creators
- Nahom Teferi - Department of Neurosurgery, University of Iowa Carver, College of Medicine, Iowa City, IA USA. Electronic address: Nahom-teferi@uiowa.eduA J Chowdhury - University of Iowa Carver, College of Medicine, Iowa City, IA USAZain Mehdi - University of Iowa Carver, College of Medicine, Iowa City, IA USAMeron Challa - University of Iowa Carver, College of Medicine, Iowa City, IA USAKathryn Eschbacher - University of IowaGirish Bathla - Mayo ClinicPatrick Hitchon - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The spine journal, Vol.23(9), pp.1243-1254
- DOI
- 10.1016/j.spinee.2023.04.002
- PMID
- 37059306
- ISSN
- 1529-9430
- eISSN
- 1878-1632
- Grant note
- DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences; DOI: 10.13039/100000002, name: National Institutes of Health, award: UL1TR002537
- Language
- English
- Electronic publication date
- 04/12/2023
- Date published
- 09/2023
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Pathology; Orthopedics and Rehabilitation; Neurosurgery
- Record Identifier
- 9984388756102771
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