Chiari 0 malformation (CM-0) with syringomyelia syringobulbia and syrinx cavity in pons simultaneously is rare. We present a case of 31-year-old man, review the available literature, and discuss the experience of therapy from the neurosurgical perspective.

Objective To investigate the clinical application of vertebroplasty in spinal neurosurgery. Methods From June 2012 to May 2015, the clinical data of 40 patients with spine disease treated by using vertebroplasty (including 35 cases of percutaneous surgery and 5 cases in combination with 2 ways in open spinal surgery) at the Department of Neurosurgery, Nanjing General Hospital of Nanjing Military Command were analyzed retrospectively. The application effect of vertebroplasty in the spine neurosurgery were analyzed and assessed. Results A total of 58 vertebrae were injected bone cement in 40 patients of this group. Five vertebrae were treated with combined application of open spinal surgery in 5 patients and the efficacy was good; 53 vertebrae were treated with percutaneous surgery in 35 patients. The leakage of cement occurred in 7 vertebrae in 7 patients. In addition to 1 patient gave up further treatment, others all became well after treatment; 38 patients were followed up for 6 to 36 months (mean 15.4 months), the efficacy of 26 patients with hemangioma and osteoporosis was good. One patient had multiple myeloma. The pain of 6 patients with metastatic carcinoma was relieved. Three patients with metastases, 1 with primary spinal tumor, and 1 with multiple myeloma died of the progress of primary disease 1 year later. Conclusions Vertebroplasty has the advantages of simple operation, short learning curve, and curative effect etc. It is best adapted for the elderly, weaker constitution, and other patients who can not be implemented in general anesthesia. It can simultaneously address multiple spinal diseases in the combined application of open spine surgery. Key words: Spinal disease; Vertebroplasty; Neurosurgical procedures