Endovascular embolization techniques are the preferred treatment modality for the management of direct Carotid Cavernous Fistulas (CCFs).We report two cases of patients treated with SOV approach and retrograde embolization with Precipitating hydrophobic injectable liquid (PHIL) and coils.

A 55-year-old male with lumbago, with Imaging studies that showed osteoporotic fractures at T5,T8,T11,T12 and L1-L5 vertebrae secondary to Cushing disease. PV was performed with a Spine Jack® intracorporal implant device. Post-operative course demonstrated improvement of pain, height, correction of the kyphotic angle and Oswestry score, without any neurological deficit.