[Spine cord descompresion and instrumentation in a case of solid aneurysmal bone cyst in the lumbar spine]. / Descompresión medular e instrumentación en un caso de variante sólida de quiste óseo aneurismático en raquis lumbar.
Neurocirugia (Astur)
; 21(3): 240-4, 2010 Jun.
Article
em Es
| MEDLINE
| ID: mdl-20571728
ABSTRACT
We report a 8-year-old boy with two month history of pain and stiffness in his left lower extremity. On x-ray, MRI and scintigraphy examinations a lytic lesion affecting the body and posterior arc of his third lumbar vertebral become evident. The tumour was excised through a double, anterior and posterior approach; spinal fusion with posterior transpedicular instrumentation was also performed in the same procedure; in order to achieve solid fusion tricortical liofilized graft was also inserted. Histological studies evidenced finding compatible with aneurysmal bone cyst solid variant. Five years after surgery the patient is pain free and no recurrence is evident under diagnostic images tools. For the treatment of aneurysmal bone cyst of the spine we recommend complete excision of the tumour in a combined anterior and posterior one staged procedure, together with hardware instrumentation and bone graft, no recurrence or instability is seen after five years followup.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Compressão da Medula Espinal
/
Cistos Ósseos Aneurismáticos
/
Descompressão Cirúrgica
/
Vértebras Lombares
Tipo de estudo:
Etiology_studies
Limite:
Child
/
Humans
/
Male
Idioma:
Es
Revista:
Neurocirugia (Astur)
Assunto da revista:
NEUROCIRURGIA
Ano de publicação:
2010
Tipo de documento:
Article