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Multilevel vertebral body replacement with a titanium mesh spacer for aneurysmal bone cyst: technical note
A Kinoshita1, K Kataoka, M Taneda
1Department of Neurosurgery, Rinku General Medical Center, Japan. akinos@onh.go.jp
Minimally Invasive Neurosurgery : MIN
|October 27, 1999
Summary
A 64-year-old male experienced sudden paralysis due to a cervical spine aneurysmal bone cyst. Surgical intervention using a titanium cage and bone graft achieved spinal fusion and stability.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Fusion Techniques
Background:
- Aneurysmal bone cysts (ABCs) in the cervical spine can lead to neurological deficits.
- Cervical spine instability requires effective surgical stabilization and fusion.
Observation:
- A 64-year-old male presented with acute tetraparesis following minor trauma.
- Imaging revealed an aneurysmal bone cyst at the C4-C6 level of the cervical spine.
Findings:
- Surgical decompression and anterior spinal fusion were performed.
- A titanium cage packed with bone graft material was used for vertebral reconstruction.
- An anterior locking plate provided immediate stability, facilitating bony ingrowth for fusion.
Implications:
- This surgical technique offers a rigid construct for anterior cervical fusion.
- It allows for effective management of cervical spine ABCs with neurological compromise.
- The method promotes stable fusion and potential for long-term spinal stability.