%0 Case Reports
%T Surgical management of a multilevel thoracolumbar aneurysmal bone cyst.
%A Gensler R
%A Roehrkasse A
%A Dowlati E
%A Sloan E
%A McGrail K
%J BMJ Case Rep
%V 17
%N 4
%D 2024 Apr 29
%M 38684351
暂无%R 10.1136/bcr-2024-259708
%X Aneurysmal bone cysts (ABCs) are primary bone tumours that rarely occur in the spine and generally affect one vertebral level in adolescents. Here, we present an unusual case of a multilevel thoracolumbar ABC, which presented a unique surgical challenge due to its infiltrative and destructive nature. A teenage male presented with back pain, paresthesias and a mildly spastic gait. MRI of the thoracolumbar spine revealed an expansive, multicystic mass extending from the left T12-L1 vertebral bodies into adjacent musculature. The patient underwent a two-stage surgical approach with decompression of the spinal cord and instrumentation to stabilise the vertebral column. The first stage involved posterior decompression, laminectomy and facetectomies, followed by pedicle-based instrumentation from T10 to L3. This was followed by a vertebrectomy and anterior stabilisation with an expansile cage from T11 to L2. A gross total resection was achieved with the patient maintaining full neurological function.