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Transoral vertebroplasty for a C2 aneurysmal bone cyst
Liberto Brage1, Héctor Roldán1, Julio Plata-Bello1
1Department of Neurosurgery, Hospital Universitario de Canarias, Carretera Ofra s/n La Cuesta. CP 38320. La Laguna, S/C de Tenerife, Spain.
Aneurysmal bone cysts in the cervical spine are challenging. Transoral vertebroplasty successfully treated a C2 lesion in a young patient, offering a safe and effective stabilization method.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Radiology
Background:
- Aneurysmal bone cysts (ABCs) of the cervical spine present significant diagnostic and therapeutic challenges, particularly in pediatric populations.
- Cervical spine ABCs can lead to instability and neurological compromise.
Observation:
- A 17-year-old female presented with cervical pain and headache following trauma.
- Imaging revealed an extensive C2 vertebral body lytic lesion consistent with an ABC.
Findings:
- Transoral vertebroplasty was performed under general anesthesia with neurophysiological monitoring.
- The procedure was technically successful, with no intraoperative or postoperative complications.
- Histological analysis of the cyst aspirate showed no evidence of tumoral cells.
Implications:
- Transoral vertebroplasty is a safe and effective minimally invasive option for stabilizing C2 aneurysmal bone cysts.
- This technique can alleviate symptoms and prevent catastrophic vertebral collapse.
- ABCs should be considered in the differential diagnosis of C2 vertebral lytic lesions.
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