Percutaneous Management of Aneurysmal bone Cyst of Axis Vertebrae in a 12-year-old Child: A Case Report.

Pediatric spinal tumors aneurysmal bone cyst calcitonin intralesional injection methylprednisolone

Journal

Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 07 06 2023
revised: 28 07 2023
medline: 27 9 2023
pubmed: 27 9 2023
entrez: 27 9 2023
Statut: ppublish

Résumé

Aneurysmal bone cyst (ABC) of cervical spine is rare in the pediatric age groups. It brings along a gamut of problems in management such as growth disturbances, instability, deformities, and neurological deficiencies. We report a case that was successfully managed by intralesional injection, making it safe and reproducible. A 12-year-old girl presented with pain and swelling around the nape of neck that increased in size over 1 year. Imaging and biopsy were suggestive of ABC. She was managed with selective embolization and percutaneous injection of methylprednisolone and calcitonin. Injections were given twice over 2 months period. At 1½ year follow-up, the patient was asymptomatic and swelling had shrunk in size and lesions ossified. ABC'S are rare lesions that can create therapeutic dilemma in the pediatric population. Intralesional injection of calcitonin and methylprednisolone can prove to be a safer and efficacious treatment modality.

Identifiants

pubmed: 37753143
doi: 10.13107/jocr.2023.v13.i09.3872
pii: JOCR-13-47
pmc: PMC10519313
doi:

Types de publication

Case Reports

Langues

eng

Pagination

47-51

Informations de copyright

Copyright: © Indian Orthopaedic Research Group.

Déclaration de conflit d'intérêts

Conflict of Interest: Nil

Références

J Neurosurg Pediatr. 2008 Nov;2(5):365-9
pubmed: 18976109
AJR Am J Roentgenol. 1995 Mar;164(3):573-80
pubmed: 7863874
Radiology. 2004 Aug;232(2):522-6
pubmed: 15215542
AJNR Am J Neuroradiol. 2004 Jun-Jul;25(6):1116-20
pubmed: 15205161
J Clin Oncol. 2005 Sep 20;23(27):6756-62
pubmed: 16170183
Spine (Phila Pa 1976). 2001 Jan 1;26(1):27-35
pubmed: 11148642
J Pediatr Orthop. 2005 May-Jun;25(3):387-92
pubmed: 15832161
Ann Surg. 1893 Jul;18(1):8-17
pubmed: 17859952
Spine (Phila Pa 1976). 2000 Feb 15;25(4):527-30; discussion 531
pubmed: 10707403
Neurosurg Focus. 2003 Nov 15;15(5):E4
pubmed: 15323461

Auteurs

Himanshu R Prasad (HR)

Department of Spine Surgery, KIMS - Sunshine Hospital, Secunderabad, Telangana, India.

P V Satyanarayana Murthy (PVS)

Department of Spine Surgery, KIMS - Sunshine Hospital, Secunderabad, Telangana, India.

D Anjaneyulu Reddy (DA)

Department of Spine Surgery, KIMS - Sunshine Hospital, Secunderabad, Telangana, India.

Himakanth Lingala (H)

Department of Orthopaedics, KIMS - Sunshine Hospital, Secunderabad, Telangana, India.

Satish Rao Immaneni (SR)

Department of Pathology, KIMS, Secunderabad, Telangana, India.

A V Gurava Reddy (AVG)

Department of Orthopaedics, KIMS - Sunshine Hospital, Secunderabad, Telangana, India.

Classifications MeSH