Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, 200 CMAB, Iowa City, IA 52242, USA.
Spine J. 2011 May;11(5):e5-12. doi: 10.1016/j.spinee.2011.03.012.
The combination of osteoblastoma and aneurysmal bone cyst (ABC) in the cervical spine is a relatively rare occurrence in the general population. The diagnosis and surgical management of osteoblastoma and ABCs have been previously described in a small number of case reports/series and orthopedic texts. Lesions of the cervical spine pose challenges to surgeons that require preoperative planning and intraoperative decisions to ensure an appropriate patient outcome. Complete resection has been shown to be the most effective method for preventing recurrence; however, balancing spinal stability, future mobility, and complete resection is especially important in active young patients.
We describe a modern approach to the surgical management of osteoblastoma with secondary ABC of the cervical spine with 4-year clinical and radiographic follow-up. Included in this report is a comprehensive review of the literature related to osteoblastoma, ABCs, and surgical issues pertinent to them.
An independent retrospective case review combined with a review of current literature was performed.
A single patient with a combination of osteoblastoma and secondary ABC is presented.
During 4 years of follow-up, the patient has been evaluated with plain radiographs for subluxation or rotation of the cervical spine. Postoperative assessments for pain and range of motion were also collected.
The medical, pathologic, and radiographic records of a case of osteoblastoma with secondary aneursymal bone cyst of the cervical spine were reviewed. A computer-based literature search of the PubMed database was used to compile a comprehensive review of the topic.
The diagnosis and surgical treatment of osteoblastoma with secondary ABC in the cervical spine are discussed in the context of a literature review. The surgical management of this lesion was dictated by the size and location of the mass as well as the impact of the surgical resection on surrounding structures in terms of spinal stability and future mobility.
The combination of osteoblastoma and ABC in the cervical spine is an uncommon occurrence in the general population. In the cervical spine, careful surgical planning and a case-by-case evaluation must be implemented to minimize morbidity and recurrence for every patient.
骨母细胞瘤和骨巨细胞瘤（ABC）在颈椎中的联合发生在普通人群中相对罕见。骨母细胞瘤和 ABC 的诊断和手术治疗以前在少数病例报告/系列和骨科教科书中有描述。颈椎病变给外科医生带来了挑战，需要术前规划和术中决策，以确保患者获得良好的预后。已经证明完全切除是预防复发最有效的方法；然而，在积极的年轻患者中，平衡脊柱稳定性、未来活动度和完全切除尤为重要。
我们描述了一种治疗颈椎骨母细胞瘤伴继发性 ABC 的现代方法，并进行了 4 年的临床和影像学随访。本报告还综合回顾了与骨母细胞瘤、ABC 以及与它们相关的手术问题的文献。
进行了独立的回顾性病例回顾，并结合当前文献进行了回顾。
介绍了一例骨母细胞瘤伴继发性 ABC 的患者。
在 4 年的随访期间，通过颈椎的普通 X 光片评估患者是否有半脱位或旋转。还收集了术后疼痛和活动范围的评估结果。
回顾了一例颈椎骨母细胞瘤伴继发性动脉瘤样骨囊肿的病例的医学、病理和影像学记录。使用基于计算机的 PubMed 数据库文献检索来综合回顾该主题。
在文献回顾的背景下讨论了颈椎骨母细胞瘤伴继发性 ABC 的诊断和手术治疗。该病变的手术治疗取决于肿块的大小和位置，以及手术切除对周围结构的影响，包括脊柱稳定性和未来活动度。
骨母细胞瘤和 ABC 在颈椎中的联合发生在普通人群中相对罕见。在颈椎中，必须进行仔细的手术规划和个案评估，以最大程度地降低每个患者的发病率和复发率。
