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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 3  |  Page : 130-133

Locally aggressive aneurysmal bone cyst of C4 vertebra treated by total en bloc excision and anterior plus posterior cervical instrumentation


1 Department of Orthopedics, B.J. Medical College, Ahmedabad, Gujarat, India
2 Department of Orthopedics, Lilavati Hospital, Bandra, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Himanshu N Parmar
73, Sunrise Appartment 14, Opposite Lilavati Hospital, Near Bandra Reclamation, Bandra (W), Mumbai - 400 050, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-8237.161595

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We are presenting a case of cervical (C4) aneurysmal bone cyst in a 13-year-old girl, came to the outpatient department with neck pain and stiffness since 6 months and normal neurology. We did an en bloc excision of locally aggressive tumor through anterior plus posterior approach and stabilization by lateral mass screw fixation and anterior cervical instrumentation. Involvement of several adjacent cervical vertebrae by an aneurysmal bone cyst is rare, and conventional treatment with curettage and bone grafting is most likely to carry a high rate of recurrence and spinal instability. We recommend complete excision of the tumor and instrumentation in a single stage to avoid instability.


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