Single-staged transoral intra-lesional excision of aneurysmal bone cyst of axis (C2) vertebra and temporary stabilization of upper cervical spine in an adolescent: A case report

Mor Japar Khan, Ed Simor Khan and Ab Wahid, Hazwan and Sharifudin, Mohd Ariff and Ramos, J and Pingel, Andreas and Kandziora, Frank M. (2019) Single-staged transoral intra-lesional excision of aneurysmal bone cyst of axis (C2) vertebra and temporary stabilization of upper cervical spine in an adolescent: A case report. International Medical Journal Malaysia, 18 (2). pp. 117-122. ISSN 1823-4631

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Abstract

Aneurysmal bone cyst (ABC) infrequently occurs within the upper cervical vertebrae. Various therapeutic options have been reported in the literature. We would like to share our experience in managing a case of a 16-year-old girl diagnosed with ABC at the body of axis (C2) vertebra. Serious attention had to be given on the stability of the cervical spine following tumour resection, which can be affected by the mode of treatment chosen. Instability can have a detrimental effect on the cervical spine, in which case may necessitate further surgery. We performed a single-staged intra-lesional curettage via a transoral approach and temporary non-fusion posterior stabilization of C1 lateral mass screw and C2 pedicle screw. The implants were removed after six months once ossification of C2 has taken place to regain full motion of the neck. There was no evidence of recurrence or instability of the cervical spine three years following surgery.

Item Type:	Article (Journal)
Additional Information:	5579/74679
Uncontrolled Keywords:	aneurysmal bone cyst; lytic lesion; cervical spine; posterior instrumentation; transoral approach
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	DR ED SIMOR KHAN KHAN
Date Deposited:	11 Oct 2019 09:45
Last Modified:	06 Apr 2020 08:37
URI:	http://irep.iium.edu.my/id/eprint/74679

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