Medical Science
Volume 24, Issue 105, September - October, 2020
Comprehensive rehabilitation of a rare case of hemangioma following subsequent attempts with vertebral stabilization
Madhuri Wane1, Tejaswini Fating1, Waqar M. Naqvi1, Pratik Phansopkar1♦, Arti Sahu1, Sohael M. Khan2
1Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha,
Maharashtra, India.
2Associate Professor, Department of Orthopedics, Jawaharlal Nehru Medical college, Datta Meghe Institute of Medical Sciences,
Wardha, Maharashtra, India.
♦Corresponding author
Assistant Professor, Department of Musculoskeletal Physiotherapy,
Ravi Nair Physiotherapy College,
Datta Meghe Institute of Medical Sciences, Wardha,
Maharashtra, India;
Email: drpratik77@gmail.com
ABSTRACT
Vertebral body haemangioma is the most prevalent non-painful, slow-growing benign tumours of the spine. These are malformed
vascular tumours, which primarily involve the vertebra and may extend to the epidural space. They rarely present with a neurological
deficit due to hypertrophy of the posterior cortex of the vertebral body. It is managed by percutaneous vertebroplasty, in which
bone cement i.e. polymethyl methacrylate (PMMA) is injected percutaneously into the vertebral body under fluoroscopic guidance.
This study reports a case of a 50-year-old female presenting with excruciating back pain, which radiated to both lower limbs, and
tingling and numbness over bilateral feet. Investigation reports reveal hemangioma at D8 and D10 level. The surgeon performed
posterior decompression following cement leakage due to the previous vertebroplasty. Post-operatively, the patient was
immobilized in a thoracolumbar Taylor’s brace and acute rehabilitation phase was started. During the intervention period, the
patient showed great cooperation and now the patient can maintain the self-balancing and be able to resume self-care activities of
daily living and grooming with the minimum assistance.
Keywords: Hemangioma, Embolization, Percutaneous Vertebroplasty, Polymethyl Methacrylate
Medical Science, 2020, 24(105), 3766-3772
