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European Spine Journal

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01-05-2017 | Case Report

Aggressive osteoblastoma of the cervical spine involving the canal and vertebral artery: a case report

Authors: Kei Ando, Shiro Imagama, Kazuyoshi Kobayashi, Yoshihiro Nishida, Naoki Ishiguro

Published in: European Spine Journal | Special Issue 1/2017

Abstract

Objective

We present such a case of aggressive osteoblastoma of cervical spine. We describe its complicated clinical progression, hoping to shed light on the surgical strategy of this complex tumor.

Methods

We present such a case of aggressive osteoblastoma involving the C6–7 vertebrae. A 25-year-old man was diagnosed as aggressive osteoblastoma of the cervical spine. The lesion encroached upon the radicular foramina and was located adjacent to the canal of the vertebral artery. Preoperative embolization was performed to reduce intraoperative bleeding and to prevent intraoperative injury of the vertebral artery.

Results

A pathologic examination showed osteoblasts suggestive of osteoblastoma. At 2-year follow-up, bony union was achieved, and there was no evidence of recurrence on a CT scan.

Conclusion

En bloc total resection for highly vascular osteoblastoma is ideal, but this case shows that piecemeal total resection following preoperative embolization is a surgical option for highly expansive osteoblastoma.

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Title: Aggressive osteoblastoma of the cervical spine involving the canal and vertebral artery: a case report
Authors: Kei Ando
Shiro Imagama
Kazuyoshi Kobayashi
Yoshihiro Nishida
Naoki Ishiguro
Publication date: 01-05-2017
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 1/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4904-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Aggressive osteoblastoma of the cervical spine involving the canal and vertebral artery: a case report

Abstract

Objective

Methods

Results

Conclusion

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Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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