Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 12  |  Issue : 3  |  Page : 236--239

First technical report of a pediatric case with thoracic Langerhans cell histiocytosis: Gross total tumor removal, corpectomy, and 360° stabilization via posterolateral approach at a single stage


Koral Erdogan, Serdar Solmaz, Ihsan Dogan 
 Department of Neurosurgery, Ankara University School of Medicine, Ibn-i Sina Hospital, Ankara, Turkey

Correspondence Address:
Koral Erdogan
Department of Neurosurgery, Ankara University School of Medicine, Ibn-i Sina Hospital, Ankara
Turkey

Background: Langerhans cell histiocytosis (LCH) is a rare nonmalignant disease characterized by a clonal proliferation of mononuclear cells called Langerhans histiocytes and infiltrates surrounding tissues, mostly self-limiting and usually occurring in the first two decades of life. Vertebral involvement is rare, mostly seen in the thoracic region, and involves the anterior elements of the corpus. In the literature, several treatment options and surgical approaches have been reported concerning the treatment of this disease and surgery. Case Presentation: We report an 18-month-old male with thoracic LCH who underwent surgery due to progressive neurological deficit. Gross total removal of the tumor with one level corpectomy in this patient was achieved via a posterolateral approach with postoperative functional improvement. The surgical cavity was supported by corpectomy cage and unilateral screw-rod fixation system at the same stage. Conclusion: Gross total tumor removal, corpectomy, and 360° stabilization via posterolateral approach at a single stage are safe, effective, and definite neurosurgical methods in terms of providing neurological recovery, long-term tumor-free survival, and spinal stability.


How to cite this article:
Erdogan K, Solmaz S, Dogan I. First technical report of a pediatric case with thoracic Langerhans cell histiocytosis: Gross total tumor removal, corpectomy, and 360° stabilization via posterolateral approach at a single stage.J Craniovert Jun Spine 2021;12:236-239


How to cite this URL:
Erdogan K, Solmaz S, Dogan I. First technical report of a pediatric case with thoracic Langerhans cell histiocytosis: Gross total tumor removal, corpectomy, and 360° stabilization via posterolateral approach at a single stage. J Craniovert Jun Spine [serial online] 2021 [cited 2022 Aug 13 ];12:236-239
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2021;volume=12;issue=3;spage=236;epage=239;aulast=Erdogan;type=0