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Updated: May 10, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Published on: September 16, 2022

Two-stage multilevel cervical spondylectomy for aneurysmal bone cyst.

Serkan Simsek¹, Uygur Er, Hacı Ahmet Demir

¹Diskapi Yildirim Bayezit Education and Research Hospital, II. Neurosurgery Clinic, Ankara, Turkey.

Turkish Neurosurgery

|June 13, 2013

Summary

Aneurysmal bone cysts in children can affect multiple spine levels. A two-stage total excision with instrumented fusion offers a safe and effective surgical option, reducing recurrence risks.

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Area of Science:

Orthopedic Surgery
Pediatric Oncology
Spinal Surgery

Background:

Aneurysmal bone cysts (ABCs) are benign, tumor-like bone lesions frequently affecting the pediatric spine.
Spinal ABCs typically involve a single vertebral level, with complete resection crucial for minimizing recurrence.
En bloc spondylectomy is preferred but carries a high complication rate, necessitating alternative surgical approaches.

Observation:

This study details a rare case of a three-level aneurysmal bone cyst in a pediatric patient.
The lesion was successfully treated with a two-stage total excision surgical technique.
The necessity of anterior and posterior instrumented fusions was highlighted, even with a growing spine.

Findings:

A two-stage total excision demonstrated safety and efficacy for extensive spinal aneurysmal bone cysts in a pediatric case.

Related Experiment Videos

Last Updated: May 10, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Published on: September 16, 2022

This approach achieved complete tumor removal, addressing the challenge of multi-level spinal involvement.

The procedure was deemed a viable alternative to en bloc spondylectomy, potentially lowering complication risks.

Implications:

This surgical strategy may offer a safer alternative for managing complex, multi-level spinal ABCs in pediatric patients.
Further research could validate this two-stage excision and fusion technique for similar cases.
Optimizing surgical outcomes for pediatric spinal tumors remains a critical area in orthopedic oncology.