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KMID : 1141120190050010022
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The Nerve
2019 Volume.5 No. 1 p.22 ~ p.25
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Transoral Vertebroplasty for Osteolytic C2 Metastasis: Report of 2 Cases
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Kim Kyung-Min
Yoon Joon-Ho
Kwon Ji-Woong
Gwak Ho-Shin
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Abstract
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Herein we reported 2 cases of vertebroplasty (VP) via the transoral route for osteolytic painful odontoid (C2) metastasis from non-small cell lung cancer. A 52-year-old man, who was diagnosed with non-small cell lung cancer a year ago, presented neck pain, which was aggravated on swallowing in September, 2015. Neuroimaging revealed osteolytic metastasis of C2 with atlanto-axial joint invasion and of C4 without compression. The metastatic cancer of multiple bone and soft tissues progressed despite the chemotherapy; hence, minimally invasive palliative therapy was needed for immediate relief of the patient’s pain. Another patient, 54-year-old man, also diagnosed non-small cell lung cancer revealed neck pain in May, 2018. He had stopped systemic chemotherapy 6 months ago due to lack of effective available regimen and received stereotactic radiosurgery for multiple brain metastases 3 months ago. Spinal computed tomography revealed C2 osteolytic lesion and we performed transoral VP for pain control. Based on our experience, transoral VP for C2 osteolytic metastasis could be performed safely and resulted in significant and immediate pain relief.
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KEYWORD
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Cervical vertebrae, Metastasis, Osteolysis, Vertebroplasty
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