Idan Genah MD, Presenter: Nothing to Disclose

Sebastien Touraine MD, Abstract Co-Author: Nothing to Disclose

Caroline Parlier MD, Abstract Co-Author: Nothing to Disclose

Bassam Hamze MD, Abstract Co-Author: Nothing to Disclose

Valerie Bousson, Abstract Co-Author: Nothing to Disclose

Elodie Sibileau MD, Abstract Co-Author: Nothing to Disclose

Jean-Denis Laredo MD, Abstract Co-Author: Research Consultant, Cardinal Health, Inc Research Consultant, Laurane Medical Research Consultant, F. Hoffman-La Roche Ltd Research Grant, SERVIER

To describe different approaches for performing percutaneous vertebroplasty of the upper cervical spine. To present an original transvertebral approach of C1 and C2 under fluoroscopic control. To discuss the advantages and disadvantages of surgical approaches used and described in the literature.

Destruction processes especially metastasis of C1 and C2 put the bulb and spinal cord at risk. Surgical approach to this skeletal site carries some risk of bleeding, vascular and nervous lesions, and anaesthetic risk. Interest for vertebroplasty of C1 and C2 is therefore obvious. Due to variety in the exact location of bone destruction area and vital anatomical structures, several approaches are needed. Percutaneous vertebroplasty remains for the upper cervical spine a challenging procedure because major vessels, nerves, the airway, often intervene in the projected needle path. In this presentation, we review the five different approaches used for vertebroplasty of upper cervical spine (anterolateral, transvertebral, posterolateral, lateral and transoral approach), focusing on the relevant anatomy, technical aspects, and advantages and limitations of each approach.

http://abstract.rsna.org/uploads/2014/14019732/14019732_ip81.pdf

Genah, I, Touraine, S, Parlier, C, Hamze, B, Bousson, V, Sibileau, E, Laredo, J, Approaches to the Upper Cervical Spine for Percutaneous Vertebroplasty.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14019732.html