Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review
Introduction: Vertebral hemangiomas are benign, slow-growing tumors. They represent 2–3% of spinal tumors and are incidentally found. Various treatment protocols have been described for Enneking stage-III vertebral hemangiomas. However, it is still controversial and a comprehensive treatment protoc...
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Knowledge E
2021-11-01
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| Series: | Journal of Spine Practice |
| Online Access: | https://knepublishing.com/index.php/jsp/article/view/9770 |
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| author | Monerah Annaim |
| author_facet | Monerah Annaim |
| author_sort | Monerah Annaim |
| collection | DOAJ |
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Introduction: Vertebral hemangiomas are benign, slow-growing tumors. They represent 2–3% of spinal tumors and are incidentally found. Various treatment protocols have been described for Enneking stage-III vertebral hemangiomas. However, it is still controversial and a comprehensive treatment protocol is still lacking.
Methodology: A retrospective clinical review was conducted on patients diagnosed with Enneking stage-III vertebral hemangiomas at two centers in Riyadh, Saudi Arabia between 2010 and 2020.
Result: A total of 11 patients with Enneking stage-III vertebral hemangiomas were included. The mean follow-up period was 47.5 ± 24.1 (9–120 months) months. All patients were symptomatic; the most common presentations were neurological deficit and/or myelopathy (n = 7). Ten patients underwent surgical intervention. Six patients had preoperative embolization, with a mean blood loss of 880.00 ± 334.46 ml. One patient refused surgery and underwent vertebroplasty and repeated sclerotherapy. All patients regained full neurological recovery during follow-up. No recurrence was reported.
Conclusion: Intralesional spondylectomy showed good results in treating Enneking Stage-III vertebral hemangiomas. However, larger studies comparing treatment methods are needed to reach a gold standard approach.
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| format | Article |
| id | doaj-art-e0b4d308ec0e4d4e829c25201dfae2ec |
| institution | DOAJ |
| issn | 2789-9454 2789-9462 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Knowledge E |
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| series | Journal of Spine Practice |
| spelling | doaj-art-e0b4d308ec0e4d4e829c25201dfae2ec2025-08-20T02:52:34ZengKnowledge EJournal of Spine Practice2789-94542789-94622021-11-011110.18502/jsp.v1i1.9770Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature ReviewMonerah Annaim0Saudi Arabia Introduction: Vertebral hemangiomas are benign, slow-growing tumors. They represent 2–3% of spinal tumors and are incidentally found. Various treatment protocols have been described for Enneking stage-III vertebral hemangiomas. However, it is still controversial and a comprehensive treatment protocol is still lacking. Methodology: A retrospective clinical review was conducted on patients diagnosed with Enneking stage-III vertebral hemangiomas at two centers in Riyadh, Saudi Arabia between 2010 and 2020. Result: A total of 11 patients with Enneking stage-III vertebral hemangiomas were included. The mean follow-up period was 47.5 ± 24.1 (9–120 months) months. All patients were symptomatic; the most common presentations were neurological deficit and/or myelopathy (n = 7). Ten patients underwent surgical intervention. Six patients had preoperative embolization, with a mean blood loss of 880.00 ± 334.46 ml. One patient refused surgery and underwent vertebroplasty and repeated sclerotherapy. All patients regained full neurological recovery during follow-up. No recurrence was reported. Conclusion: Intralesional spondylectomy showed good results in treating Enneking Stage-III vertebral hemangiomas. However, larger studies comparing treatment methods are needed to reach a gold standard approach. https://knepublishing.com/index.php/jsp/article/view/9770 |
| spellingShingle | Monerah Annaim Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review Journal of Spine Practice |
| title | Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review |
| title_full | Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review |
| title_fullStr | Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review |
| title_full_unstemmed | Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review |
| title_short | Surgical Intervention for Enneking Stage-III Vertebral Hemangiomas and Literature Review |
| title_sort | surgical intervention for enneking stage iii vertebral hemangiomas and literature review |
| url | https://knepublishing.com/index.php/jsp/article/view/9770 |
| work_keys_str_mv | AT monerahannaim surgicalinterventionforennekingstageiiivertebralhemangiomasandliteraturereview |