Eur J Pediatr Surg 2011; 21(3): 189-191
DOI: 10.1055/s-0031-1271636
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© Georg Thieme Verlag KG Stuttgart · New York

Surgical Treatment Using Mesh Cage and Plate Fixation in a 9-Year-Old Child with Solitary Histiocytosis Lesion in the Cervical Spine

S.-Y. Chen1 , S.-C. Chao1 , T.-H. Kao1 , C.-C. Shen1 , H.-K. Tsou1
  • 1Taichung Veterans General Hospital, Neurosurgery, Taichung, Taiwan, R.O.C.
Further Information

Publication History

Publication Date:
18 February 2011 (online)


Eosinophilic granuloma (EG), a localized clinical form of Langerhans cell histiocytosis (LCH), is characterized by one or more destructive lesions with many eosinophilic cells. Vertebral involvement has been reported in about 8–25% of cases [1]. Surgery is usually not recommended without neurological involvement. Patients with a solitary spinal lesion have been treated with anterior cervical corpectomy and fusion using miniplate and screws [2], curettage with or without fusion [3], or resection of the vertebra combined with discectomy and bone graft [4]. Percutaneous vertebroplasty has also been used [5]. We describe a patient with EG of a cervical vertebral body who was treated with spinal fusion using mesh cage and plate fixation. This specific procedure has not been previously reported for the treatment of EG of the cervical spine.


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Dr. Hsi-Kai Tsou

Taichung Veterans General Hospital


160 Sec 3 Chung-Kang Road

Taichung Taiwan

R.O.C. Taichung

40705 Taiwan

Province of China

Phone: + 886 4 2374 1218

Fax: + 886 4 2374 1218