PERCUTANEOUS VERTEBROPLASTY FOR HEMANGIOMAS OF THE THORACIC AND LUMBAR VERTEBRAL BODIES

Abstract

The social significance of spinal hemangiomas is determined by the high prevalence rate, reaching 10-11.5% among the working population group of 35-45 years of age, 2/3 of which are women. For a long time, the absence of a clear clinical picture made diagnosis difficult; hemangiomas were described only during autopsies as one of the causes of pathological fractures of the vertebral bodies. With the introduction of radiation research methods into clinical practice, spinal hemangiomas have moved from the category of random findings to the category of pressing problems of modern medicine. Percutaneous vertebroplasty involves the injection of polymethyl methacrylate into the vertebral body in order to increase the strength of bone tissue, prevent a decrease in the height of the vertebral bodies and achieve an analgesic and antitumor effect. Vertebroplasty is used in the treatment of patients with aggressive hemangiomas of the vertebral bodies, as well as compression fractures of the vertebral bodies due to trauma or bone pathology. The paper presents percutaneous vertobroplasty for hemangiomas of the thoracic and lumbar vertebral bodies. The age range of patients varied from 25 to 63 years. For diagnosis, we use radiography, CT and MRI. The surgical treatment was carried out using a device we developed.