Can C2 Vertebroplasty Restore Alignment in Pathologic Odontoid Fracture: A Case Report

• Main Authors: Majid Reza Farrokhi, Amir Tarokh, Javad Safaei
• Format: Article
• Language: English
• Published: Guilan University of Medical Sciences 2020-01-01
• Series: Iranian Journal of Neurosurgery
• Subjects: vertebroplasty; solitary plasmacytoma; pain
• Online Access: http://irjns.org/article-1-197-en.html

Background and Importance: Plasmacytoma is more likely to involve the spine, with up to 50%, most commonly in the thoracic spine. Case Presentation: We present the case of a solitary C2 plasmocytoma with neck pain and abnormal C1-C2 range of motion, which happened to have an osteolytic C2 lesion on CT scanning. The patient underwent a fluoroscopically guided anterior percutaneous C2 vertebroplasty without posterior fusion, which resulted in long-standing pain control, maintenance of normal motions and restoration of cervical alignment. Conclusion: This case represents fluoroscopically guided anterior percutaneous C2 vertebroplasty as an effective treatment for C2 osteolytic lesions with abnormal range of motion, which can be considered in selected cases as an alternative approach for demanding open surgical approaches to this challenging region.