Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence
Vertebral hemangiomas are the most common benign tumor of the spine. Although usually asymptomatic, there is a higher risk of severe neurological deficits when hemangiomas afflict the thoracic spine. The management of vertebral hemangioma patients with extraosseous extension causing neurological dys...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-12-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751918302238 |
| _version_ | 1819064525667696640 |
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| author | Masashi Uehara, MD Jun Takahashi, MD Shugo Kuraishi, MD Shota Ikegami, MD Toshimasa Futatsugi, MD Hiroki Oba, MD Takashi Takizawa, MD Keiichirou Koiwai, MD Toshiaki Otsuki, MD Takeshi Uehara, MD Hiroyuki Kato, MD |
| author_facet | Masashi Uehara, MD Jun Takahashi, MD Shugo Kuraishi, MD Shota Ikegami, MD Toshimasa Futatsugi, MD Hiroki Oba, MD Takashi Takizawa, MD Keiichirou Koiwai, MD Toshiaki Otsuki, MD Takeshi Uehara, MD Hiroyuki Kato, MD |
| author_sort | Masashi Uehara, MD |
| collection | DOAJ |
| description | Vertebral hemangiomas are the most common benign tumor of the spine. Although usually asymptomatic, there is a higher risk of severe neurological deficits when hemangiomas afflict the thoracic spine. The management of vertebral hemangioma patients with extraosseous extension causing neurological dysfunction has not yet been established. We described the effectiveness of surgical and radiation therapy in a case of recurrent hemangioma in the thoracic spine with extraosseous extension causing progressive paraparesis. We retrospectively reviewed a case of vertebral recurrent hemangioma treated by posterior spinal decompression and fusion and subsequent radiation therapy.A 61-year-old woman suffered from neurological deficits caused by a hemangioma in the thoracic spine. Despite initial treatment by posterior decompression, subtotal transpedicular tumor resection, and posterior spinal fusion, her neurological symptoms due to tumor compression recurred 5 years later. Posterior-approach anterior spinal cord decompression by subtotal transpedicular tumor resection was attempted next but her paraparesis continued to worsen. Radiotherapy of a total of 32 Gy in 16 fractions restored mobility and lesion size was markedly reduced 7 months later. Even 14 months after surgery, she has been able to walk although she has slightly paralysis of the lower extremity remaining.Subtotal transpedicular tumor resection, and especially additional radiation therapy, was effective in reducing tumor volume and improving neurological dysfunction caused by a thoracic spine recurrent hemangioma. Keywords: Recurrent vertebral hemangioma, Subtotal transpedicular tumor resection, Radiation therapy |
| first_indexed | 2024-12-21T15:31:57Z |
| format | Article |
| id | doaj.art-f06043dc240841f68a06cdabbca16f52 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-21T15:31:57Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-f06043dc240841f68a06cdabbca16f522022-12-21T18:58:44ZengElsevierInterdisciplinary Neurosurgery2214-75192019-12-0118Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrenceMasashi Uehara, MD0Jun Takahashi, MD1Shugo Kuraishi, MD2Shota Ikegami, MD3Toshimasa Futatsugi, MD4Hiroki Oba, MD5Takashi Takizawa, MD6Keiichirou Koiwai, MD7Toshiaki Otsuki, MD8Takeshi Uehara, MD9Hiroyuki Kato, MD10Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan; Corresponding author.Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Laboratory Medicine, Shinshu University Hospital, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Laboratory Medicine, Shinshu University Hospital, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanVertebral hemangiomas are the most common benign tumor of the spine. Although usually asymptomatic, there is a higher risk of severe neurological deficits when hemangiomas afflict the thoracic spine. The management of vertebral hemangioma patients with extraosseous extension causing neurological dysfunction has not yet been established. We described the effectiveness of surgical and radiation therapy in a case of recurrent hemangioma in the thoracic spine with extraosseous extension causing progressive paraparesis. We retrospectively reviewed a case of vertebral recurrent hemangioma treated by posterior spinal decompression and fusion and subsequent radiation therapy.A 61-year-old woman suffered from neurological deficits caused by a hemangioma in the thoracic spine. Despite initial treatment by posterior decompression, subtotal transpedicular tumor resection, and posterior spinal fusion, her neurological symptoms due to tumor compression recurred 5 years later. Posterior-approach anterior spinal cord decompression by subtotal transpedicular tumor resection was attempted next but her paraparesis continued to worsen. Radiotherapy of a total of 32 Gy in 16 fractions restored mobility and lesion size was markedly reduced 7 months later. Even 14 months after surgery, she has been able to walk although she has slightly paralysis of the lower extremity remaining.Subtotal transpedicular tumor resection, and especially additional radiation therapy, was effective in reducing tumor volume and improving neurological dysfunction caused by a thoracic spine recurrent hemangioma. Keywords: Recurrent vertebral hemangioma, Subtotal transpedicular tumor resection, Radiation therapyhttp://www.sciencedirect.com/science/article/pii/S2214751918302238 |
| spellingShingle | Masashi Uehara, MD Jun Takahashi, MD Shugo Kuraishi, MD Shota Ikegami, MD Toshimasa Futatsugi, MD Hiroki Oba, MD Takashi Takizawa, MD Keiichirou Koiwai, MD Toshiaki Otsuki, MD Takeshi Uehara, MD Hiroyuki Kato, MD Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence Interdisciplinary Neurosurgery |
| title | Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| title_full | Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| title_fullStr | Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| title_full_unstemmed | Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| title_short | Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| title_sort | effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence |
| url | http://www.sciencedirect.com/science/article/pii/S2214751918302238 |
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