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一例脊柱颈椎段骨囊肿:罕见病例报告

A Bone Cyst in the Cervical Region of the Vertebral Column: A Report of a Rare Case.

作者信息

Sandougah Kholoud

机构信息

Internal Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

出版信息

Cureus. 2023 Oct 5;15(10):e46534. doi: 10.7759/cureus.46534. eCollection 2023 Oct.

Abstract

Of all primary spine tumors, 15% are benign osteolytic lesions known as aneurysmal bone cysts (ABCs). Owing to the involvement of surrounding neurovascular structures and the potential for cervical spine instability, ABCs in the cervical spine represent a relatively uncommon clinical entity with surgical resection that is extremely challenging. This report details a case of an ABC in the cervical spine affecting a 10-year-old child who presented at the Medical Services Center at Imam Muhammad Ibn Saud Islamic University. The patient manifested with neck pain, a history of trauma, limitations in cervical motion, and neurological changes over the course of clinical follow-up. Diagnostic measures included radiography and computed tomography. The child underwent surgery to stabilize the cervical spine and to excise both the tumor and the affected vertebrae. Given the high recurrence rate of previously described lesions, various additional techniques have been utilized in conjunction with surgical resection, such as radiation and embolization. This paper further discusses the patient's progress, the chosen treatment, and the range of available options. More research is needed to develop evidence-based treatment plans for cervical spine ABCs in younger patients.

摘要

在所有原发性脊柱肿瘤中,15%为良性溶骨性病变,即骨囊肿(ABCs)。由于周围神经血管结构受累以及颈椎不稳定的可能性,颈椎ABCs是一种相对罕见的临床实体,手术切除极具挑战性。本报告详细介绍了一名在伊玛目穆罕默德·伊本·沙特伊斯兰大学医疗服务中心就诊的10岁儿童颈椎ABCs病例。患者在临床随访过程中表现为颈部疼痛、有外伤史、颈椎活动受限以及神经功能改变。诊断措施包括X线摄影和计算机断层扫描。该患儿接受了手术,以稳定颈椎并切除肿瘤及受累椎体。鉴于先前描述的病变复发率高,已采用各种附加技术与手术切除相结合,如放疗和栓塞。本文进一步讨论了患者的病情进展、所选治疗方法以及可用的治疗方案范围。需要更多研究来为年轻患者的颈椎ABCs制定基于证据的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6f/10625455/49f0c791ad68/cureus-0015-00000046534-i01.jpg

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