Abstract
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.
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