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Journal of Korean Neurosurgical Society > Volume 24(1); 1995 > Article
Journal of Korean Neurosurgical Society 1995;24(1): 84-90.
Aneurysmal Bone Cyst of the Second Cervical Spine.
Sung Hun Cha, Geun Sung Song, Dong June Park, Byoung Jo Jang, Young Woo Lee
Department of Neurosurgery, College of Medicine, Pusan National University, Pusan, Korea.
ABSTRACT
Aneurysmal bone cysts are lytic lesions that have been described in virtually every portion of the skeleton but most commonly occur as solitary lesions in the metaphyseal portions of long bones. One fifth of aneurysmal bone cysts occur in the spine where they most frequently involve the posterior elements. In the spine, aneurysmal bone cyst have been reported to occur in the lower thoracic and lumbar regions, but their occurrence in the cervicodorsal area is uncommon. In this case, the second cervical vertebral body and posterior elements are affected. Fortunately, the lesion didn't invade into the spinal canal. The main symptom on admission was pressure pain, tenderness and motion limitation of the cervical spine. We removed the lesion involving posterior elements of second cervical spine and used horse-shoe shaped pediatric C-D device for occipito-cervical fixation. The clinical symptoms were resolved after operation. The clinical, radiologic, operative and pathological findings are reported and the corresponding literature are reviewed.
Key Words: Aneurysmal bone cyst; Cervical spine; Metaphysis; Occipito-cervical fixation
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