Stillwell W T, Fielding J W
Clin Orthop Relat Res. 1984 Jul-Aug(187):144-6.
A 23-year-old woman with paraparesis and bladder atonia of one week's duration demonstrated lytic destruction of the anterior elements of C7, D1, and D2, with gibbus deformity at C7. The tumor was excised in August 1975 through an anterior approach and the cervical spine was reconstructed with a five-level, fibular strut bone graft. Several weeks later a posterior fusion was performed. The patient was placed in a halo jacket for three months, at which time solid fusion was achieved. The final pathologic diagnosis was aneurysmal bone cyst. The patient obtained full neurologic recovery after surgery and has had no sequelae or recurrence to date. Involvement of several adjacent cervical vertebrae by an aneurysmal bone cyst is unusual, and a comparable case is rarely reported.
一名23岁女性，出现截瘫和膀胱张力缺失一周，影像学显示C7、D1和D2椎体前部骨质溶解破坏，C7椎体有脊柱后凸畸形。1975年8月通过前路手术切除肿瘤，并用五级腓骨支撑骨移植重建颈椎。几周后进行了后路融合术。患者佩戴头环背心三个月，此时实现了牢固融合。最终病理诊断为骨囊肿。患者术后神经功能完全恢复，至今无后遗症或复发。骨囊肿累及多个相邻颈椎的情况并不常见，类似病例鲜有报道。
