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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:1738-1740, September 2006
© 2006 American Society of Neuroradiology

Technical Note
SPINE

Catheter-Directed Percutaneous Transpedicular C2/C3 Vertebroplasty in a Patient with Fibrous Dysplasia Using Seldinger Technique

G. Christoforidis^a, D. Dang^a and J. Gabriel^b

^a Department of Radiology, The Ohio State University, Columbus, Ohio
^b Department of Orthopedics, The Ohio State University, Columbus, Ohio

Address correspondence to Gregory A. Christoforidis, MD, Department of Radiology, The Ohio State University Medical Center, 627 Means Hall, 1654 Upham Dr, Columbus, OH 43210; e-mail: greg.christoforidis{at}osumc.edu

SUMMARY: 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.