Single-Staged Transoral Intra-Lesional Excision of Aneurysmal Bone Cyst of Axis (C2) Vertebra and Temporary Stabilization of Upper Cervical Spine in an Adolescent: A Case Report
- Author:
Khan ES
- Collective Name:Hazwan AW, Sharifudin MA, Ramos Ja, Pingel A, Kandziora F
- Publication Type:Case Reports
- Keywords:
aneurysmal bone cyst;
lytic lesion;
cervical spine;
posterior instrumentation;
transoral approach
- From:
The International Medical Journal Malaysia
2019;18(2):117-122
- CountryMalaysia
- Language:English
-
Abstract:
Aneurysmal bone cyst (ABC) infrequently occurs within the upper cervical vertebrae. Various therapeutic
options have been reported in the literature. We would like to share our experience in managing a case of a
16-year-old girl diagnosed with ABC at the body of axis (C2) vertebra. Serious attention had to be given on
the stability of the cervical spine following tumour resection, which can be affected by the mode of
treatment chosen. Instability can have a detrimental effect on the cervical spine, in which case may
necessitate further surgery. We performed a single-staged intra-lesional curettage via a transoral approach
and temporary non-fusion posterior stabilization of C1 lateral mass screw and C2 pedicle screw. The
implants were removed after six months once ossification of C2 has taken place to regain full motion of the
neck. There was no evidence of recurrence or instability of the cervical spine three years following surgery.
- Full text:180216.pdf
