International Journal of Surgery Case Reports, 2023 · DOI: https://doi.org/10.1016/j.ijscr.2023.108027 · Published: March 22, 2023
Vertebral hemangiomas (VH) are common, benign tumors in the spine, often found incidentally. Sometimes, these tumors become aggressive (AVH), causing pain and nerve problems. There are many ways to treat AVH, but doctors don't always agree on the best approach. This study explores whether less intense treatments for aggressive vertebral hemangioma can be as effective as more aggressive treatments. The goal is to reduce complications during and after surgery while still achieving good results for patients. A 17-year-old male with an aggressive vertebral hemangioma in his thoracic spine was treated with embolization (blocking blood flow to the tumor) and surgery to relieve pressure on the spinal cord, followed by vertebroplasty to stabilize the spine. The patient recovered well and had no recurrence after two years.
Consider less aggressive treatment options, such as embolization and decompression with vertebroplasty, for AVH patients.
Less aggressive approaches may decrease intraoperative bleeding and neurological injury.
Expect good clinical, radiographic, and disease-free survival outcomes with appropriate patient selection and technique.