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Research ArticleTumor

Aggressive Thoracic Hemangioma Leading to Secondary Kyphosis with Paraparesis in the Postpartum Period. A Case Report

ANOUAR BOURGHLI, SALIM M ABDULJAWAD, LOUIS BOISSIÈRE, HANI KHALIFA and IBRAHIM OBEID
International Journal of Spine Surgery June 2020, 14 (3) 418-425; DOI: https://doi.org/10.14444/7055
ANOUAR BOURGHLI
1Orthopaedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia
MD
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  • For correspondence: Anouar.bourghli@gmail.com
SALIM M ABDULJAWAD
1Orthopaedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia
MD
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LOUIS BOISSIÈRE
2Orthopaedic Spinal Surgery Unit 1, Bordeaux Pellegrin Hospital, Bordeaux, France
MD
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HANI KHALIFA
3Obstetrics and Gynecology Department, Kingdom Hospital, Riyadh, Saudi Arabia
MD
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IBRAHIM OBEID
2Orthopaedic Spinal Surgery Unit 1, Bordeaux Pellegrin Hospital, Bordeaux, France
MD
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  • Figure 1
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    Figure 1

    MRI showing (top) the T6 compression fracture with hyperintensity signal on T2 weighted images and cord compression, (middle) epidural extension, and (bottom) significant enhancement on T1 with contrast weighted images.

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    Figure 2

    CT scan confirming (top) the compression fracture with kyphotic angulation and (bottom) a coarse trabecular pattern typical of vertebral hemangioma.

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    Figure 3

    Intraoperative image showing turgescent epidural veins (black arrow).

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    Figure 4

    Postoperative CT scan confirming good correction of the kyphosis.

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    Figure 5

    (left) and (right) Standing x-rays done on D4 after the surgery showing a good global alignment on both views.

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    Figure 6

    CT scan at 2 months showing (left) and (center) distal junctional kyphosis in the form of a “chance fracture” of T8 (black arrows), leading to (right) a local kyphosis T8–T9 (black lines).

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    Figure 7

    MRI done at 6 months showing (top, middle, and bottom) satisfactory cord decompression with no recurrence.

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    Figure 8

    Full spine x-ray at 2 years confirming (left) the stable status with good alignment and (right) the healed distal chance fracture of T8 on CT scan.

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International Journal of Spine Surgery
Vol. 14, Issue 3
1 Jun 2020
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Aggressive Thoracic Hemangioma Leading to Secondary Kyphosis with Paraparesis in the Postpartum Period. A Case Report
ANOUAR BOURGHLI, SALIM M ABDULJAWAD, LOUIS BOISSIÈRE, HANI KHALIFA, IBRAHIM OBEID
International Journal of Spine Surgery Jun 2020, 14 (3) 418-425; DOI: 10.14444/7055

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Aggressive Thoracic Hemangioma Leading to Secondary Kyphosis with Paraparesis in the Postpartum Period. A Case Report
ANOUAR BOURGHLI, SALIM M ABDULJAWAD, LOUIS BOISSIÈRE, HANI KHALIFA, IBRAHIM OBEID
International Journal of Spine Surgery Jun 2020, 14 (3) 418-425; DOI: 10.14444/7055
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  • pregnancy
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