Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2018  |  Volume : 9  |  Issue : 3  |  Page : 205--208

Giant cell tumor with pathological fracture of C2 with C1-C2 instability: A rare case with review of literature


Abhijeet B Kadam, Ashok K Rathod, Anoop C Dhamangaonkar 
 Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Ashok K Rathod
Profesor & Unit Head, Department of Orthopaedics, Suite No. 115, First Floor, College Building, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai - 400 022, Maharashtra
India

Giant cell tumor (GCT) or osteoclastoma is a benign, locally aggressive tumor with a tendency to recur. Involvement of the axial skeleton is very rare and majority of them are seen in the sacrum. The authors report a rare case of a 19-year-old female who presented with a C2 dens GCT with a pathological fracture and atlantoaxial dislocation. The patient was operated in two stages: first stage, with posterior instrumentation and stabilization followed by the second stage, tumor resection by anterior transoral approach. The residual tumor cavity was packed with autologous corticocancellous bone grafts. At a 5-year follow-up, computed tomography scan showed a C1-C2 fusion mass. There was no radiological or clinical evidence of tumor recurrence with the patient having good functional outcome without any neurological deficit.


How to cite this article:
Kadam AB, Rathod AK, Dhamangaonkar AC. Giant cell tumor with pathological fracture of C2 with C1-C2 instability: A rare case with review of literature.J Craniovert Jun Spine 2018;9:205-208


How to cite this URL:
Kadam AB, Rathod AK, Dhamangaonkar AC. Giant cell tumor with pathological fracture of C2 with C1-C2 instability: A rare case with review of literature. J Craniovert Jun Spine [serial online] 2018 [cited 2020 Dec 1 ];9:205-208
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=3;spage=205;epage=208;aulast=Kadam;type=0