Surgical treatment of rare localization of aggressive sacral hemangioma (literature review and clinical case)

Introduction. Lesions of the sacrococcygeal spine hemangioma are quite rare (up to 1% of cases of all spinal hemangiomas). Publications devoted to the surgical treatment of patients with this level of localization of aggressive hemangioma do not give a clear idea of the preferred surgical techniques.Research objective. To analyze and demonstrate the surgical treatment result of a patient with aggressive hemangioma of the S2 vertebra. Material and methods. Balloon kyphoplasty with using left d transcutaneous transpedicular access was performed on a 36-year-old patientResults. The pain syndrome intensity before surgery was 8 points on the visual analog scale (VAS), after surgery - 2 points. According to the Oswestry questionnaire (ODI), life limitations were estimated at 16 points before treatment, and 4 points after surgery. VAS and ODI indicators were 0 points a month after surgical treatment. Computed tomography performed on the 1st day after surgery showed complete filling of the defect with a bone composite without its moving outside the vertebral body. Repeated examination 6 and 12 months after surgical treatment revealed no signs of tumor recurrence.Conclusion. The presented clinical case may be of interest to a wide audience, due to the insuffi t information of the issues of surgical treatment of aggressive spinal hemangiomas of rare localization in the sacrum area.