Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 985-988
DOI: 10.4103/ajns.AJNS_120_17
Case Report

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

Mansour Parvaresh
Department of Neurosurgery, Iran University of Medical Sciences, Tehran
,
Morteza Taheri
Department of Neurosurgery, Iran University of Medical Sciences, Tehran
,
Alireza Azimi
Department of Neurosurgery, Iran University of Medical Sciences, Tehran
,
Sadra Rohani
1   Department of Neurosurgery, Birjand University of Medical Sciences
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

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.

Key-words:

Aneurysmal bone cyst - anterior surgical approach - posterior surgical approach - spinal imbalance

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Zenonos G, Jamil O, Governale LS, Jernigan S, Hedequist D, Proctor MR, et al. Surgical treatment for primary spinal aneurysmal bone cysts: Experience from children's hospital Boston. J Neurosurg Pediatr 2012;9:305-15.
  • 2 Rahimizadeh A, Taghinedjadi O, Rahimizadeh A. One stage management of aggressive cervicothoracic aneurysmal bone cyst in a 14-year old girl: Report of a case and review of the literature. World Spinal Column J 2013;4:109-19.
  • 3 Pennekamp W, Peters S, Schinkel C, Kuhnen C, Nicolas V, Muhr G, et al. Aneurysmal bone cyst of the cervical spine (2008:7b). Eur Radiol 2008;18:2356-60.
  • 4 Khalil IM, Alaraj AM, Otrock ZK, Chamoun RB, Sabbagh AS, Skaf GS, et al. Aneurysmal bone cyst of the cervical spine in a child: Case report and review of the surgical role. Surg Neurol 2006;65:298-303.
  • 5 Verbiest H. Giant-cell tumours and aneurysmal bone cysts of the spine. With special reference to the problems related to the removal of a vertebral body. J Bone Joint Surg Br 1965;47:699-713.
  • 6 Hay MC, Paterson D, Taylor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg Br 1978;60-B: 406-11.
  • 7 Dick HM, Bigliani LU, Michelsen WJ, Johnston AD, Stinchfield FE. Adjuvant arterial embolization in the treatment of benign primary bone tumors in children. Clin Orthop Relat Res 1979;139:133-41.
  • 8 Stillwell WT, Fielding JW. Aneurysmal bone cyst of the cervicodorsal spine. Clin Orthop Relat Res 1984;187:144-6.
  • 9 Ameli NO, Abbassioun K, Saleh H, Eslamdoost A. Aneurysmal bone cysts of the spine. Report of 17 cases. J Neurosurg 1985;63:685-90.
  • 10 Capanna R, Albisinni U, Picci P, Calderoni P, Campanacci M, Springfield DS, et al. Aneurysmal bone cyst of the spine. J Bone Joint Surg Am 1985;67:527-31.
  • 11 Disch SP, Grubb RL Jr., Gado MH, Strecker WB, Marbarger JP. Aneurysmal bone cyst of the cervicothoracic spine: Computed tomographic evaluation of the value of preoperative embolization. Case report. Neurosurgery 1986;19:290-3.
  • 12 Ohry A, Lipschitz M, Shemesh Y, Lipschitz L, Tadmor R. Disappearance of quadriparesis due to a huge cervicothoracic aneurysmal bone cyst. Surg Neurol 1988;29:307-10.
  • 13 McDonald P, Letts M, Sutherland G, Unruh H. Aneurysmal bone cyst of the upper thoracic spine. An operative approach through a manubrial sternotomy. Clin Orthop Relat Res 1992;279:127-32.
  • 14 Gupta VK, Gupta SK, Khosla VK, Vashisth RK, Kak VK. Aneurysmal bone cysts of the spine. Surg Neurol 1994;42:428-32.
  • 15 de Kleuver M, van der Heul RO, Veraart BE. Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B 1998;7:286-92.
  • 16 Ozaki T, Halm H, Hillmann A, Blasius S, Winkelmann W. Aneurysmal bone cysts of the spine. Arch Orthop Trauma Surg 1999;119:159-62.
  • 17 Boriani S, De Iure F, Campanacci L, Gasbarrini A, Bandiera S, Biagini R, et al. Aneurysmal bone cyst of the mobile spine: Report on 41 cases. Spine (Phila Pa 1976) 2001;26:27-35.
  • 18 Garneti N, Dunn D, El Gamal E, Williams DA, Nelson IW, Sandemon DR, et al. Cervical spondyloptosis caused by an aneurysmal bone cyst: A case report. Spine (Phila Pa 1976) 2003;28:E68-70.
  • 19 Deo SD, Fairbank JC, Wilson-Macdonald J, Richards P, Pike M, Athanasou N, et al. Aneurysmal bone cyst as a rare cause of spinal cord compression in a young child. Spine (Phila Pa 1976) 2005;30:E80-2.
  • 20 Zileli M, Kilinçer C, Ersahin Y, Cagli S. Primary tumors of the cervical spine: A retrospective review of 35 surgically managed cases. Spine J 2007;7:165-73.
  • 21 Knoeller SM, Uhl M, Adler CP. Aneurysmal bone cyst in a lumbar pedicle of a child. SICOT Online Rep 2003;E037:5.