Percutaneous Vertebroplasty for the Treatment of Thoracic and Lumbar Vertebral Hemangioma

【Objective】To investigate the treatment methods and efficacy of percutaneous vertebroplasty for the treatment of thoracic and lumbar Vertebral Hemangioma.【Methods】 From 2000 to 2005,eighteen patients with vertebral hemangioma were diagnosed by clinical,radiological and pathological examinations.All patients without contraindication were received percutaneous vertebroplasty.The visual analogue pain scale(VAS) of patients before operation was 7.5±1.6.【Results】 The average time of follow up of 18 patients was 2.3 years(ranged from 1 to 4.5 years).Pains of 6 patients were released completely,9 patients were released well,2 patients were released little,and one patient was not released absolutely in 24 hours after operation.The ratio of fineness was 83.3%.The VAS of patients in 48 hours after operation was 1.5±0.8.In 3 months after operation,pains of all patients were released completely,the vertebral height of them was not lost,and no case with hemangioma recurred.Bone cement leakage occurred in 3 cases(4 vertebra) without deterioration.【Conclusion】 Percutaneous vertebroplasty,which can stagnate the pathological changes,solidify the centrums,stabilize the vertebral and release the symptoms of patients,was a safe,effective and minimally invasive procedure for the treatment of vertebral hemangioma without paraplegia.