Aggressive vertebral hemangiomas: optimization of management tactics

Kravtsov M.N.; Manukovskiĭ V.A.; Zharinov G.M.; Kandyba D.V.; Tsibirov A.A.; Savello A.V.; Svistov D.V.

doi:https://doi.org/

Kravtsov M.N.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Manukovskiĭ V.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Zharinov G.M.

FGU "Rossiĭskiĭ nauchnyĭ tsentr radiologii i khirurgicheskikh tekhnologiĭ", Sankt-Peterburg

Kandyba D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Tsibirov A.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Savello A.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Svistov D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Aggressive vertebral hemangiomas: optimization of management tactics

Authors:

Kravtsov M.N., Manukovskiĭ V.A., Zharinov G.M., Kandyba D.V., Tsibirov A.A., Savello A.V., Svistov D.V.

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Journal: Burdenko's Journal of Neurosurgery. 2012;76(2): 23‑32

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To cite this article:

Kravtsov MN, Manukovskiĭ VA, Zharinov GM, Kandyba DV, Tsibirov AA, Savello AV, Svistov DV. Aggressive vertebral hemangiomas: optimization of management tactics. Burdenko's Journal of Neurosurgery. 2012;76(2):23‑32. (In Russ.)

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

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Abstract:

Today vertebral hemangioma is not completely understood entity, neither its pathogenesis nor optimal treatment is determined. Nowadays in majority of clinics in this country ineffective radiotherapy remains the first-line treatment. We analyzed results of treatment of 205 patients (286 lesions) with aggressive hemangiomas operated in Department of Neurosurgery of Military Medical Academy and Department of Nuclear Medicine of of Russian Scientific Center of Radiological and Surgical Technologies (Saint-Petersburg, Russia) since 1999 till 2009. Percutaneus vertebroplasty was performed in 167 lesions, radiotherapy was applied in 119 aggressive hemangiomas. Vertebroplasty is more effective for treatment of aggressive hemangiomas in comparison with radiotherapy. Signs of hemangiomas aggression, indications for surgery, and tactics of management were determined. Use of percutaneous vertebroplasty for treatment of aggressive hemangiomas resulted in fast recovery of the patients. This procedure is minimally invasive, it reduces hospital stay and duration of recovery.

Keywords:

vertebral hemangioma

vertebroplasty

radiation therapy

criteria of aggressiveness

Authors:

Kravtsov M.N.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Manukovskiĭ V.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Zharinov G.M.

FGU "Rossiĭskiĭ nauchnyĭ tsentr radiologii i khirurgicheskikh tekhnologiĭ", Sankt-Peterburg

Kandyba D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Tsibirov A.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Savello A.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Svistov D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

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