Surgical neurology international · 2026
Management of spinal aneurysmal bone cyst: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Alotaibi Abdulrahman Khalid, Muzian Faisal Turki, Turkistani Alaa Nabil, Samkari Alaa, Algahtani Abdulhadi Yahya
Аннотация
BACKGROUND: Aneurysmal bone cysts (ABCs) are reactive, proliferative, and highly vascular benign osseous lesions. They are very rare, and present significant diagnostic and treatment challenges.
CASE DESCRIPTION: For three months, an 18-year-old male developed progressive low back pain and mid-low back swelling. The computed tomography (CT) scan showed a mass invading the L1 vertebral body and right pedicle. The Magnetic resonance imaging (MRI) documented a complex cystic, osteolytic lesion measuring 7 cm × 7.7 cm × 5 cm that displaced the thecal sac to the left. After the biopsy confirmed an ABC, the patient underwent pre-operative embolization that reduced the vascularity by 80%; this was succeeded by en bloc total lesion resection with an instrumented fusion.
CONCLUSION: ABCs rarely occur in the lumbar spine. The diagnosis should be established and confirmed utilizing both MR and CT studies. Biopsy should be followed by embolization (i.e., if appropriate), and gross total surgical resection with fusion if warranted.
CASE DESCRIPTION: For three months, an 18-year-old male developed progressive low back pain and mid-low back swelling. The computed tomography (CT) scan showed a mass invading the L1 vertebral body and right pedicle. The Magnetic resonance imaging (MRI) documented a complex cystic, osteolytic lesion measuring 7 cm × 7.7 cm × 5 cm that displaced the thecal sac to the left. After the biopsy confirmed an ABC, the patient underwent pre-operative embolization that reduced the vascularity by 80%; this was succeeded by en bloc total lesion resection with an instrumented fusion.
CONCLUSION: ABCs rarely occur in the lumbar spine. The diagnosis should be established and confirmed utilizing both MR and CT studies. Biopsy should be followed by embolization (i.e., if appropriate), and gross total surgical resection with fusion if warranted.