C-arm CT guided percutaneous vertebroplasty for pain release in cancer patient with cervical 1 vertebral metastases: A case report.

Neuro endocrinology letters Pub Date : 2024-01-31
Zhi-Peng Lin, Xu-Gong Zou, Da-Bei Huang, Yuan Chen, Xiao-Qun Li, Jian Zhang
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Abstract

Objective: To evaluate the efficacy and treatment outcome of C-arm CT percutaneous vertebroplasty in the treatment of cervical 1 (C1) vertebral metastases.

Methods: This report recruited a male patient diagnosed with hepatocellular carcinoma and C1 vertebral metastases, who had suffered from severe neck pain symptoms and the analgesic showed little soothing effect. Under the guidance of C-arm CT, an 18G coaxial needle was used to puncture the left lateral mass of C1 vertebral metastases from lateral space between thyroid cartilage and the left carotid sheath, with 2 ml bone cement injected.

Results: Postoperative C-arm CT three-dimensional reconstruction scan showed that the bone cement was well filled and distributed in the left lateral mass of C1 vertebral body, and no leakage of bone cement was observed. The neck pain of the patients was significantly relieved one week after the operation.

Conclusion: Under the guidance of C-arm CT, cement augmentation using percutaneous vertebroplasty in an anterior cervical direction could serve as a safe and effective pain relief approach for patients with C1 vertebral metastases.

C 型臂 CT 引导经皮椎体成形术为颈椎 1 椎体转移的癌症患者解除疼痛:病例报告。
目的评估C臂CT经皮椎体成形术治疗颈1(C1)椎体转移瘤的疗效和治疗结果:本报告招募了一名确诊为肝细胞癌和C1椎体转移瘤的男性患者,该患者患有严重的颈部疼痛症状,镇痛药的舒缓效果甚微。在C臂CT引导下,用18G同轴针从甲状软骨与左侧颈动脉鞘之间的外侧间隙穿刺C1椎体转移瘤左外侧肿块,注入2毫升骨水泥:术后C型臂CT三维重建扫描显示,骨水泥在C1椎体左外侧肿块内填充分布良好,未见骨水泥渗漏。术后一周,患者颈部疼痛明显缓解:结论:在 C 型臂 CT 的引导下,采用经皮椎体成形术在颈椎前方进行骨水泥增量,是治疗 C1 椎体转移瘤患者的一种安全有效的止痛方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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