Abstract
PDF- 2005;8;235-238CT Guided Direct Transoral Approach to C2 for Percutaneous Vertebroplasty
A Case Report
Arra S. Reddy, MD, Mary Hochman, MD, Shaun Loh, BS, Jacob Rachlin, MD, PhD, Joseph Li, MD, and Joshua A. Hirsch, MD.
Background: Percutaneous vertebroplasty is a well-established procedure consisting of the percutaneous injection of a biomaterial, usually Polymethyl methacrylate (PMMA), into a vertebral body. In most cases, this procedure affords significant pain relief and strengthens the bone. Vertebroplasty is most typically performed successfully with patients with acute compression fractures. Objective: We report a case of percutaneous vertebroplasty via the transoral approach, performed with computed axial tomography (CT) scan guidance. Methods: The procedure was performed in a 74-year-old male with a C2 vertebral body lytic lesion. Results: This uncomplicated, minimally invasive procedure relieved the patient's pain. The transoral route is the most direct operative approach to the pathology in the upper cervical spine. Conclusion: When used with the CT scanner to facilitate accurate placement of the needle, the transoral approach provides a safe and precise operative approach to the upper cervical spine. Keywords: Cervical spine, vertebroplasty, transoral