Parvaresh Mansour, Taheri Morteza, Azimi Alireza, Rohani Sadra
Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
Department of Neurosurgery, Birjand University of Medical Sciences, Iran.
Asian J Neurosurg. 2019 Jul-Sep;14(3):985-988. doi: 10.4103/ajns.AJNS_120_17.
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.
动脉瘤样骨囊肿（ABC）被定义为一种良性骨病变，其包含由软组织间隔分隔的充满血液的通道，大多在儿童和青少年中被诊断出来。在本研究中，对一名患有痉挛性截瘫和左脚下垂的7岁女孩的病例进行了调查。脊柱成像显示T2椎体后部结构有一个大的溶骨性肿块，这导致了T2椎体部分塌陷、T1至T3脱位以及脊柱矢状面失衡。患者接受了两阶段手术，包括前路T2椎体次全切除术、T1/T2和T2/T3椎间盘切除术、前路内固定、后路肿瘤全切除术以及用椎板钩进行后路固定。术后成像显示脊髓减压且脊柱排列良好。尽管脊柱ABC是一种罕见的病症，但它可发生于脊柱的任何节段，并导致脊髓受压和脊柱不稳定。因此，恰当的治疗规划对于肿瘤全切除以避免肿瘤复发和纠正脊柱失衡至关重要。
