“Cerebellum” in Cervical Spine: Surgical Management of Aneurysmal Bone Cyst in a nine year-old boy

Vol 32| Issue 2 | July – Dec 2019 | page: 42-45 | Suresh S Pillai, Ali Shabith, Hena Azeez


Authors: Suresh S Pillai [1], Ali Shabith [1], Hena Azeez [1]

[1] Department Of Orthopaedics, Baby Memorial Hospital, Calicut, Kerala, India.

Address of Correspondence

Dr. Suresh S Pillai
Baby Memorial Hospital, Calicut, Kerala, India.
E-mail: sureshorth@googlemail.com


Abstract

Aneurysmal bone cysts (ABCs) are benign, highly vascular expansile lytic lesions of bone, which has haverare occurrences in the cervical spine (2% of all cases). ABCs of the cervical spine has havea higher incidence in the pediatric population, and mostly involves the posterior elements of one vertebral level, with occasional extension to the facets and body. Surgical treatment of cervical ABC in pediatric patients is challenging because of the danger to neurovascular structures and the remaining growth of the spine. While complete tumor resection should be attempted for the best chance for cure, spinal fusion and instrumentation should be added to minimize the risk of post-operative instability. Our case report presents an ABCAneurysmal Bone Cyst of C2 cervical spine in a 9-year-old boy with the involvement of posterior elements and facets. Surgical treatment in this patient included complete tumor excision and posterior instrumented fusion in a single stage without any neurovascular injury and uneventful follow follow-up of 5 years.
Keywords: Aneurysmal Bone Cyst (ABC); Cervical spine; Pediatric; Surgical management.


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How to Cite this Article: Pillai S S, Shabith A, Azeez H | “Cerebellum” in Cervical Spine: Surgical Management of Aneurysmal Bone Cyst in a nine year-old boy | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 42-45 .

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