PDF(Pubmed)
Abstract：
Of all primary spine tumors, 15% are benign osteolytic lesions known as aneurysmal bone cysts (ABCs). Owing to the involvement of surrounding neurovascular structures and the potential for cervical spine instability, ABCs in the cervical spine represent a relatively uncommon clinical entity with surgical resection that is extremely challenging. This report details a case of an ABC in the cervical spine affecting a 10-year-old child who presented at the Medical Services Center at Imam Muhammad Ibn Saud Islamic University. The patient manifested with neck pain, a history of trauma, limitations in cervical motion, and neurological changes over the course of clinical follow-up. Diagnostic measures included radiography and computed tomography. The child underwent surgery to stabilize the cervical spine and to excise both the tumor and the affected vertebrae. Given the high recurrence rate of previously described lesions, various additional techniques have been utilized in conjunction with surgical resection, such as radiation and embolization. This paper further discusses the patient\'s progress, the chosen treatment, and the range of available options. More research is needed to develop evidence-based treatment plans for cervical spine ABCs in younger patients.
摘要：
在所有原发性脊柱肿瘤中，15％是良性溶骨性病变，称为动脉瘤性骨囊肿（ABCs）。由于周围神经血管结构的参与和颈椎不稳定的可能性，颈椎中的ABC代表了一种相对罕见的临床实体，手术切除极具挑战性。本报告详细介绍了一例颈椎ABC影响一名10岁儿童的情况，该儿童在ImamMuhammadIbnSaud伊斯兰大学的医疗服务中心提出。病人表现为颈部疼痛，创伤史,颈椎运动的局限性，以及临床随访过程中的神经系统变化。诊断措施包括射线照相和计算机断层扫描。孩子接受了手术以稳定颈椎并切除肿瘤和受影响的椎骨。鉴于先前描述的病变的高复发率，各种附加技术已与手术切除结合使用，如辐射和栓塞。本文进一步讨论了病人的进展,选择的治疗方法，以及可用选项的范围。需要更多的研究来制定针对年轻患者的颈椎ABC的循证治疗计划。
