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[Aneurysmal bone cyst of C5. Complete 2-stage excision]
J M Fuentes1, J Benezech, M Lamur
1Clinique Rech., Montpellier.
Neuro-Chirurgie
|January 1, 1988
Summary
A rare case of aneurysmal bone cyst in a 35-year-old man
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Aneurysmal bone cyst (ABC) is a rare bone tumor, with spinal involvement accounting for a small percentage of cases.
- Cervical spine ABCs are uncommon, and this case presents a unique demographic and treatment history.
Observation:
- A 35-year-old male presented with an aneurysmal bone cyst of the C5 vertebra.
- Initial treatment with radiotherapy (3,800 rads) failed to improve clinical or radiologic signs.
- The lesion progressed, extending to the body and posterior arch of C5, necessitating surgical intervention.
Findings:
- The patient, diagnosed at 35 and operated on at 38, falls outside the typical age demographic for ABCs (usually under 20).
- Radiotherapy alone was ineffective, highlighting limitations in treating advanced spinal ABCs.
- Surgical excision was required due to lesion progression, indicating the aggressive nature of this particular case.
Implications:
- This case underscores the importance of considering surgical intervention for spinal ABCs, especially when radiotherapy fails.
- It highlights the variability in ABC presentation and treatment response, even in rare cervical localizations.
- Further research into optimal treatment strategies for complex spinal ABCs is warranted.