A Case Study on Aneurysmal Bone Cyst of T2 Vertebral Body in a 7-Year-Old Girl: Anterior and Posterior Surgical Approach for Tumor Resection and Spinal Reconstruction.

Aneurysmal bone cyst anterior surgical approach posterior surgical approach spinal imbalance

Journal

Asian journal of neurosurgery
ISSN: 1793-5482
Titre abrégé: Asian J Neurosurg
Pays: India
ID NLM: 101564712

Informations de publication

Date de publication:
Historique:
entrez: 10 9 2019
pubmed: 10 9 2019
medline: 10 9 2019
Statut: ppublish

Résumé

Aneurysmal bone cyst (ABC) is defined as a benign lesion of bone containing blood-filled channels divided by soft-tissue septa and mostly diagnosed in children and adolescents. In the present study, the case of a 7-year-old girl with spastic paraparesia and left foot drop was investigated. Spinal imaging revealed a large lytic mass in the posterior elements of the T2 vertebral body, which resulted in the partial collapse of the T2 vertebral body, a T1 to T3 dislocation, and a spinal sagittal imbalance. The patient underwent a two-stage surgical procedure including an anterior T2 corpectomy, T1/T2 and T2/T3 discectomy, anterior instrumentation, posterior total tumor resection, and posterior fixation with laminar hooks. Postoperative imaging demonstrated cord decompression and good spinal alignment. Although a spinal ABC is a rare entity, it can occur in any segment of the spinal column and cause cord compression and spinal instability. Thus, proper treatment planning is crucial for total tumor resection to avoid tumor recurrence and correct spinal imbalance.

Identifiants

pubmed: 31497147
doi: 10.4103/ajns.AJNS_120_17
pii: AJNS-14-985
pmc: PMC6703061
doi:

Types de publication

Case Reports

Langues

eng

Pagination

985-988

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Arch Orthop Trauma Surg. 1999;119(3-4):159-62
pubmed: 10392510
Spine (Phila Pa 1976). 2001 Jan 1;26(1):27-35
pubmed: 11148642
Spine (Phila Pa 1976). 2003 Feb 15;28(4):E68-70
pubmed: 12590221
Spine (Phila Pa 1976). 2005 Feb 1;30(3):E80-2
pubmed: 15682001
Clin Orthop Relat Res. 1992 Jun;(279):127-32
pubmed: 1600646
Surg Neurol. 2006 Mar;65(3):298-303; discussion 303
pubmed: 16488257
Spine J. 2007 Mar-Apr;7(2):165-73
pubmed: 17321965
Eur Radiol. 2008 Oct;18(10):2356-60
pubmed: 18784950
J Neurosurg Pediatr. 2012 Mar;9(3):305-15
pubmed: 22380960
Surg Neurol. 1988 Apr;29(4):307-10
pubmed: 3353842
Neurosurgery. 1986 Aug;19(2):290-3
pubmed: 3528909
J Bone Joint Surg Am. 1985 Apr;67(4):527-31
pubmed: 3980496
J Neurosurg. 1985 Nov;63(5):685-90
pubmed: 4056871
Clin Orthop Relat Res. 1979 Mar-Apr;(139):133-41
pubmed: 455830
J Bone Joint Surg Br. 1965 Nov;47(4):699-713
pubmed: 5846771
Clin Orthop Relat Res. 1984 Jul-Aug;(187):144-6
pubmed: 6744709
J Bone Joint Surg Br. 1978 Aug;60-B(3):406-11
pubmed: 681419
Surg Neurol. 1994 Nov;42(5):428-32
pubmed: 7974150
J Pediatr Orthop B. 1998 Oct;7(4):286-92
pubmed: 9810527

Auteurs

Mansour Parvaresh (M)

Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.

Morteza Taheri (M)

Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.

Alireza Azimi (A)

Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.

Sadra Rohani (S)

Department of Neurosurgery, Birjand University of Medical Sciences, Iran.

Classifications MeSH