儿童颈椎动脉瘤样骨囊肿：病例报告及手术作用的综述
Aneurysmal bone cyst of the cervical spine in a child: case report and review of the surgical role.
作者信息
Khalil Ismail M, Alaraj Ali M, Otrock Zaher K, Chamoun Roukoz B, Sabbagh Amira S, Skaf Ghassan S
机构信息
Division of Vascular Surgery, Department of Surgery, American University of Beirut Medical Center, PO Box 11-0236, Beirut 1107 2020, Lebanon.
出版信息
Surg Neurol. 2006 Mar;65(3):298-303; discussion 303. doi: 10.1016/j.surneu.2005.06.032.
BACKGROUND
Surgical treatment of aneurysmal bone cysts of the cervical spine, frequently affecting pediatric patients, is a challenge to operating surgeons. Complete tumor resection offers the best chance for cure.
CASE DESCRIPTION
We present the case of a child with an expansile aneurysmal bone cyst of the cervical spine that involves all 3 spinal columns. The advantages of combining a posterolateral followed by anterior approach after a preoperative angiography and vertebral artery balloon occlusion testing provided the added safety to maximize the extent of tumor resection. Spinal stabilization was successfully achieved in both approaches.
CONCLUSION
The challenge of surgically resecting aneurysmal bone cysts of the cervical spine in children enabled us to achieve a total resection with the help of preoperative angiography and vertebral artery balloon occlusion testing. Spinal instability should be addressed with reconstruction and stabilization techniques.
背景
颈椎动脉瘤样骨囊肿的手术治疗对手术医生来说是一项挑战，这种疾病常影响儿童患者。完整切除肿瘤是治愈的最佳机会。
病例描述
我们报告一例患有颈椎扩张性动脉瘤样骨囊肿的儿童病例，该囊肿累及所有三个脊柱柱。术前血管造影和椎动脉球囊闭塞试验后，先采用后外侧入路，再采用前入路，这种联合方法的优势在于增加了安全性，从而最大程度地扩大肿瘤切除范围。两种入路均成功实现了脊柱稳定。
结论
儿童颈椎动脉瘤样骨囊肿的手术切除挑战促使我们借助术前血管造影和椎动脉球囊闭塞试验实现了肿瘤全切。应采用重建和稳定技术解决脊柱不稳定问题。
Zotero 插件