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<meta name="DC.Title" content="Percutaneous Vertebroplasty for Metastatic Involvement of the Axis" />
<meta name="DC.Date" content="2005-08-01" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE: Percutaneous vertebroplasty in the upper cervical spine is a challenging procedure, and little is known about its therapeutic outcome. The purpose of this study was to assess the risks and benefits of percutaneous vertebroplasty for metastatic involvement of the axis.

METHODS: From January 1994 to August 2004, 12 patients (mean age, 52.3 years) underwent percutaneous vertebroplasty via an anterolateral approach using fluoroscopic guidance for metastatic lesions involving the C2 vertebral body; pain intensity was scored on a scale ranging from 0.0 (no pain) to 10.0 (maximum pain intensity). Eight patients (66.7%) were followed up (mean, 6.9 months); 5 of them had percutaneous vertebroplasty indicated for pain control and spine stabilization and 3, for spine stabilization only.

RESULTS: The mean volume of cement injected was 2.9 ± 0.7 mL (range, 2.0–4.0 mL) with a mean vertebral filling of 60.7 ± 14.6% (range, 25–80%). Cement leakage was detected in 7 treated vertebrae (58.3%). Pain improvement was achieved in 4/5 patients (80%). Spine stability was observed in 7 patients (87.5%), but 1 patient (12.5%) presented with a secondary spine deformity in association with partial vertebral filling. Two postprocedural clinical manifestations (16.7%) were observed: 1 patient (8.3%) had a transient occipital neuralgia and another (8.3%) had an ischemic stroke. Mortality and morbidity rates at mean follow-up were 0.0% and 12.5% (1 patient), respectively.

CONCLUSION: Percutaneous vertebroplasty of C2 metastases by an antero-lateral approach is an effective option in the treatment strategy of patients with metastases to C2. Nevertheless, it is a challenging procedure and may carry regional and even intracranial risks due to the proximity to the vertebral artery." />
<meta name="DC.Contributor" content="Francisco Mont’Alverne" />
<meta name="DC.Contributor" content="Jean-Noel Vallée" />
<meta name="DC.Contributor" content="Evelyne Cormier" />
<meta name="DC.Contributor" content="Remy Guillevin" />
<meta name="DC.Contributor" content="Hector Barragan" />
<meta name="DC.Contributor" content="Betty Jean" />
<meta name="DC.Contributor" content="Michelle Rose" />
<meta name="DC.Contributor" content="Jacques Chiras" />
<meta name="article:published_time" content="2005-08-01" />
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<meta name="citation_title" content="Percutaneous Vertebroplasty for Metastatic Involvement of the Axis" />
<meta name="citation_abstract" lang="en" content="&lt;p&gt;&lt;i&gt;BACKGROUND AND PURPOSE:&lt;/i&gt; Percutaneous vertebroplasty in the upper cervical spine is a challenging procedure, and little is known about its therapeutic outcome. The purpose of this study was to assess the risks and benefits of percutaneous vertebroplasty for metastatic involvement of the axis.&lt;/p&gt;&lt;p&gt;&lt;i&gt;METHODS:&lt;/i&gt; From January 1994 to August 2004, 12 patients (mean age, 52.3 years) underwent percutaneous vertebroplasty via an anterolateral approach using fluoroscopic guidance for metastatic lesions involving the C2 vertebral body; pain intensity was scored on a scale ranging from 0.0 (no pain) to 10.0 (maximum pain intensity). Eight patients (66.7%) were followed up (mean, 6.9 months); 5 of them had percutaneous vertebroplasty indicated for pain control and spine stabilization and 3, for spine stabilization only.&lt;/p&gt;&lt;p&gt;&lt;i&gt;RESULTS:&lt;/i&gt; The mean volume of cement injected was 2.9 ± 0.7 mL (range, 2.0–4.0 mL) with a mean vertebral filling of 60.7 ± 14.6% (range, 25–80%). Cement leakage was detected in 7 treated vertebrae (58.3%). Pain improvement was achieved in 4/5 patients (80%). Spine stability was observed in 7 patients (87.5%), but 1 patient (12.5%) presented with a secondary spine deformity in association with partial vertebral filling. Two postprocedural clinical manifestations (16.7%) were observed: 1 patient (8.3%) had a transient occipital neuralgia and another (8.3%) had an ischemic stroke. Mortality and morbidity rates at mean follow-up were 0.0% and 12.5% (1 patient), respectively.&lt;/p&gt;&lt;p&gt;&lt;i&gt;CONCLUSION:&lt;/i&gt; Percutaneous vertebroplasty of C2 metastases by an antero-lateral approach is an effective option in the treatment strategy of patients with metastases to C2. Nevertheless, it is a challenging procedure and may carry regional and even intracranial risks due to the proximity to the vertebral artery.&lt;/p&gt;" />
<meta name="citation_journal_title" content="American Journal of Neuroradiology" />
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<meta name="citation_publication_date" content="2005/08/01" />
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<meta name="citation_author" content="Francisco Mont’Alverne" />
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<meta name="citation_author" content="Betty Jean" />
<meta name="citation_author" content="Michelle Rose" />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE: Percutaneous vertebroplasty in the upper cervical spine is a challenging procedure, and little is known about its therapeutic outcome. The purpose of this study was to assess the risks and benefits of percutaneous vertebroplasty for metastatic involvement of the axis.

METHODS: From January 1994 to August 2004, 12 patients (mean age, 52.3 years) underwent percutaneous vertebroplasty via an anterolateral approach using fluoroscopic guidance for metastatic lesions involving the C2 vertebral body; pain intensity was scored on a scale ranging from 0.0 (no pain) to 10.0 (maximum pain intensity). Eight patients (66.7%) were followed up (mean, 6.9 months); 5 of them had percutaneous vertebroplasty indicated for pain control and spine stabilization and 3, for spine stabilization only.

RESULTS: The mean volume of cement injected was 2.9 ± 0.7 mL (range, 2.0–4.0 mL) with a mean vertebral filling of 60.7 ± 14.6% (range, 25–80%). Cement leakage was detected in 7 treated vertebrae (58.3%). Pain improvement was achieved in 4/5 patients (80%). Spine stability was observed in 7 patients (87.5%), but 1 patient (12.5%) presented with a secondary spine deformity in association with partial vertebral filling. Two postprocedural clinical manifestations (16.7%) were observed: 1 patient (8.3%) had a transient occipital neuralgia and another (8.3%) had an ischemic stroke. Mortality and morbidity rates at mean follow-up were 0.0% and 12.5% (1 patient), respectively.

CONCLUSION: Percutaneous vertebroplasty of C2 metastases by an antero-lateral approach is an effective option in the treatment strategy of patients with metastases to C2. Nevertheless, it is a challenging procedure and may carry regional and even intracranial risks due to the proximity to the vertebral artery." />
<meta name="og-title" property="og:title" content="Percutaneous Vertebroplasty for Metastatic Involvement of the Axis" />
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<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: Percutaneous vertebroplasty in the upper cervical spine is a challenging procedure, and little is known about its therapeutic outcome. The purpose of this study was to assess the risks and benefits of percutaneous vertebroplasty for metastatic involvement of the axis.

METHODS: From January 1994 to August 2004, 12 patients (mean age, 52.3 years) underwent percutaneous vertebroplasty via an anterolateral approach using fluoroscopic guidance for metastatic lesions involving the C2 vertebral body; pain intensity was scored on a scale ranging from 0.0 (no pain) to 10.0 (maximum pain intensity). Eight patients (66.7%) were followed up (mean, 6.9 months); 5 of them had percutaneous vertebroplasty indicated for pain control and spine stabilization and 3, for spine stabilization only.

RESULTS: The mean volume of cement injected was 2.9 ± 0.7 mL (range, 2.0–4.0 mL) with a mean vertebral filling of 60.7 ± 14.6% (range, 25–80%). Cement leakage was detected in 7 treated vertebrae (58.3%). Pain improvement was achieved in 4/5 patients (80%). Spine stability was observed in 7 patients (87.5%), but 1 patient (12.5%) presented with a secondary spine deformity in association with partial vertebral filling. Two postprocedural clinical manifestations (16.7%) were observed: 1 patient (8.3%) had a transient occipital neuralgia and another (8.3%) had an ischemic stroke. Mortality and morbidity rates at mean follow-up were 0.0% and 12.5% (1 patient), respectively.

CONCLUSION: Percutaneous vertebroplasty of C2 metastases by an antero-lateral approach is an effective option in the treatment strategy of patients with metastases to C2. Nevertheless, it is a challenging procedure and may carry regional and even intracranial risks due to the proximity to the vertebral artery." />
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      <h1 class="highwire-cite-title" id="page-title">Percutaneous Vertebroplasty for Metastatic Involvement of the Axis</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Francisco Mont’Alverne</span>, <span class="highwire-citation-author" data-delta="1">Jean-Noel Vallée</span>, <span class="highwire-citation-author" data-delta="2">Evelyne Cormier</span>, <span class="highwire-citation-author" data-delta="3">Remy Guillevin</span>, <span class="highwire-citation-author" data-delta="4">Hector Barragan</span>, <span class="highwire-citation-author" data-delta="5">Betty Jean</span>, <span class="highwire-citation-author" data-delta="6">Michelle Rose</span> and <span class="highwire-citation-author" data-delta="7">Jacques Chiras</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">August 2005,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">26 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(7) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1641-1645; </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-3092--6733514656" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Francisco Mont’Alverne </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Francisco%2BMont%E2%80%99Alverne%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Mont%E2%80%99Alverne%20F&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AFrancisco%2BMont%25E2%2580%2599Alverne%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div 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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" xmlns:xhtml="http://www.w3.org/1999/xhtml" class="section ref-list" id="ref-list-1"><h2>References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-other" id="cit-26.7.1641.1"><div class="cit-metadata"><cite>Guillevin R, Vallee JN, Lafitte F, et al. <strong>Spine metastasis imaging: a review of the literature.</strong> <span class="cit-source">J Neuroradiol</span> (in press)</cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-other" id="cit-26.7.1641.2"><div class="cit-metadata"><cite>Weill A, Chiras J, Simon JM, et al. <strong>Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement.</strong> <span class="cit-source">Radiology</span> <span 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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 26</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 7 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Aug 2005 </div></div>
      
      
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Aug 2005, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">26 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(7) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1641-1645; </span></div>
  
  
  
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">Francisco</span> <span class="nlm-surname">Mont’Alverne</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">Jean-Noel</span> <span class="nlm-surname">Vallée</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">Evelyne</span> <span class="nlm-surname">Cormier</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Remy</span> <span class="nlm-surname">Guillevin</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">Hector</span> <span class="nlm-surname">Barragan</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">Betty</span> <span class="nlm-surname">Jean</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">Michelle</span> <span class="nlm-surname">Rose</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">Jacques</span> <span class="nlm-surname">Chiras</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Aug 2005, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">26 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(7) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1641-1645; </span></div>
  
  
  
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