Mishra Sudhansu Sekhar, Panigrahi Souvagya, Das Deepak
Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Odisha, India.
J Pediatr Neurosci. 2014 May;9(2):196-9. doi: 10.4103/1817-1745.139369.
Aneurysmal bone cysts (ABCs) of the cervical spine are rare occurrences accounting for about 2% of all cases. Having a propensity to develop in the pediatric population, it generally involves the posterior elements with occasional extension to the facets and body of one vertebral level. Surgical treatment of high cervical ABC in pediatric patients is challenging. Where as complete tumor resection should be attempted for the best chance for cure, spinal fusion should be added to correct the defects created by resection to minimize the risk of postoperative instability. This paper presents a multi-level giant expansile ABC of the high cervical spine involving all three spinal columns in a 13-year-old girl and discuss the surgical management. Surgical treatment in this patient included complete tumor excision and circumferential fusion in two stages without any neurovascular injury. The safety and efficacy of this method, especially in the pediatric population is discussed in view of pertinent literature.
颈椎动脉瘤样骨囊肿（ABCs）较为罕见，约占所有病例的2%。它倾向于在儿童人群中发生，通常累及后部结构，偶尔会延伸至一个椎体节段的小关节和椎体。小儿高位颈椎ABC的手术治疗具有挑战性。虽然应尝试完整切除肿瘤以获得最佳治愈机会，但应增加脊柱融合术以纠正切除造成的缺损，从而将术后不稳定的风险降至最低。本文介绍了一名13岁女孩高位颈椎的多级巨大膨胀性ABC，累及所有三个脊柱柱，并讨论了手术治疗方法。该患者的手术治疗包括分两阶段进行完整的肿瘤切除和环形融合，未发生任何神经血管损伤。结合相关文献讨论了该方法的安全性和有效性，尤其是在儿童人群中的情况。
