Catheter-directed percutaneous transpedicular C2/C3 vertebroplasty in a patient with fibrous dysplasia using seldinger technique.

Abstract

A 35-year-old man with polyostotic fibrous dysplasia and a massively enlarged skull presented with Lhermitte sensations due to an unstable, mulitseptated, lytic C2/3 vertebral body complex. Enlarged extracranial vasculature made open surgery a high-risk option and limited percutaneous access. A 5F catheter was directed by using a guidewire into the C2/C3 vertebral body complex via a transpedicularly placed biopsy cannula to ensure polymethylmethacrylate deposition throughout the lytic compartments of the vertebral body complex.