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Cervical spine giant cell bone tumor: a case report.
İdris Sertbaş1, Mete Karatay2, Uguray Payam Hacisalihoğlu3
1Department of Neurosurgery, Yeni Yüzyıl University Medical Faculty, Merkez Mahallesi,Çukurçeşme Caddesi No:51, Gaziosmanpaşa, İstanbul, Turkey. idris.sertbas@yeniyuzyil.edu.tr.
Giant cell tumors (GCTs) are rare, locally aggressive bone tumors. This case highlights successful single-stage anterior surgical removal of a GCT in the cervical spine, a rare location.
Area of Science:
- Orthopedic Surgery
- Oncology
- Spinal Surgery
Background:
- Giant cell tumors (GCTs) are typically benign but locally aggressive primary bone neoplasms.
- Spinal GCTs are uncommon, with cervical spine involvement being particularly rare.
Observation:
- A 31-year-old male presented with neck pain and a C4 vertebral body lytic lesion on CT.
- The lesion extended posteriorly, causing vertebral collapse.
Findings:
- A single-stage anterior surgical approach was utilized for complete tumor excision.
- The GCT was widely curetted via the anterior approach, followed by anterior cage and plate-screw fixation for spinal fusion.
Implications:
- This case demonstrates the feasibility of a single-stage anterior approach for posteriorly located cervical spine GCTs.
- Successful surgical management can achieve tumor resection and spinal stability in rare GCT presentations.
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