Thoracic spine aneurysmal bone cyst causing paraplegia in a child: A case report
Open Access
- 7 May 2022
- journal article
- Published by Scientific Scholar in Journal of Musculoskeletal Surgery and Research
- Vol. 6, 179-183
- https://doi.org/10.25259/jmsr_14_2022
Abstract
A primary aneurysmal bone cyst (ABC) of the spine is a benign lesion with an aggressive nature that can lead to bone destruction and the potential of recurrence after surgical resection. This report focuses on a rare case of the primary ABC in the proximal thoracic spine that is associated with paraplegia in a 7-year-old patient. Nonetheless, the previous research has confirmed that the best therapy for thoracic lesions is challenging and the paucity of evidence-based practice remains an impediment to addressing the issue. The main attribute that leads to these difficulties is the position of the lesions that occur close to the spine and the documented relationship to deformity. Surgical resection decompression can be used alone or in combination with fixation, curettage, selective arterial embolization, and radiotherapy. This report aimed to discuss the clinical, radiological, and therapeutic features of the primary spinal ABC and stress the need for complete surgical excision and decompression if complete spinal cord injury is present. We report this rare case, which was treated surgically with excellent neurological recovery and no recurrence of the ABC at 7 months of follow-up.Keywords
This publication has 11 references indexed in Scilit:
- Primary Aneurysmal Bone Cyst of the Thoracic Spine: A Pediatric Case ReportWorld Neurosurgery, 2019
- A case report of aneurysmal bone cyst of the thoracic spine treated by serial anterior and posterior fusionMedicine, 2019
- Aneurysmal bone cysts of the spine: treatment options and considerationsJournal of Neuro-Oncology, 2014
- Aneurysmal bone cyst of thoracic spine: case report and brief review of literatureBMJ Case Reports, 2013
- Aneurysmal bone cyst of the mobile spine: the therapeutic role of embolizationEuropean Spine Journal, 2012
- Aggressive “Benign” Primary Spine NeoplasmsSpine, 2009
- Surgical management of aneurysmal bone cysts of the spineNeurosurgical Focus, 2003
- Total recuperation in a case of sudden total paraplegia due to an aneurysmal bone cyst of the thoracic spineChild's Nervous System, 1994
- Aneurysmal Bone Cyst of the Upper Thoracic SpineClinical Orthopaedics and Related Research, 1992
- Aneurysmal bone cysts of the spineThe Journal of Bone and Joint Surgery. British volume, 1978