Verbiest H
Acta Neurochir (Wien). 1994;130(1-4):111-6. doi: 10.1007/BF01405510.
First, the author relates his memories of his first encounter with the new Editor-in-Chief of the Acta Neurochirurgica in 1957 and the reasons why it made such an unforgettable impression. Next, follows a discussion of the technical difficulties in the treatment of spinal aneurysmal bone cysts, which may produce extensive destruction of its bony elements. The relatively rare occurrence of these lesions and resulting limited experience provide insufficient grounds for developing rigid rules of surgical treatment. Their treatment must rather rely on experience by means of examples (paradigms). The present author's principles of surgical strategy are total removal of these cysts and repair by means of stabilizing bony autotransplants. A description is given of an unusual case of an aneurysmal bone cyst localized in the cervical-occipital transition area in which 3 D CT images give a better view on stabilization reached by osteoplastic repair of the destroyed structures than can be achieved with previous imaging methods.
首先，作者讲述了他对1957年首次遇到《神经外科学学报》新主编的回忆以及这次相遇给他留下如此深刻印象的原因。接下来，讨论了脊柱动脉瘤样骨囊肿治疗中的技术难题，这种囊肿可能会对其骨质成分造成广泛破坏。这些病变相对罕见，导致经验有限，这为制定严格的手术治疗规则提供了不足的依据。它们的治疗必须更多地依靠实例（范例）积累经验。作者的手术策略原则是完全切除这些囊肿，并通过稳定的自体骨移植进行修复。文中描述了一例罕见的动脉瘤样骨囊肿病例，该囊肿位于颈枕交界区，与以往的成像方法相比，三维CT图像能更好地显示通过对受损结构进行骨成形修复所达到的稳定效果。
