Percutaneous Management of Aneurysmal bone Cyst of Axis Vertebrae in a 12-year-old Child: A Case Report

Introduction: Aneurysmal bone cyst (ABC) of cervical spine is rare in the pediatric age groups. It brings along a gamut of problems in management such as growth disturbances, instability, deformities, and neurological deficiencies. We report a case that was successfully managed by intralesional inje...

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Bibliographic Details
Published in:Journal of orthopaedic case reports 2023-09, Vol.13 (9), p.47-51
Main Authors: Prasad, Himanshu R, Murthy, P V Satyanarayana, Reddy, D Anjaneyulu, Lingala, Himakanth, Immaneni, Satish Rao, Reddy, A V Gurava
Format: Article
Language:English
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Case Report
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Summary:Introduction: Aneurysmal bone cyst (ABC) of cervical spine is rare in the pediatric age groups. It brings along a gamut of problems in management such as growth disturbances, instability, deformities, and neurological deficiencies. We report a case that was successfully managed by intralesional injection, making it safe and reproducible. Case Report: A 12-year-old girl presented with pain and swelling around the nape of neck that increased in size over 1 year. Imaging and biopsy were suggestive of ABC. She was managed with selective embolization and percutaneous injection of methylprednisolone and calcitonin. Injections were given twice over 2 months period. At 1½ year follow-up, the patient was asymptomatic and swelling had shrunk in size and lesions ossified. Conclusion: ABC’S are rare lesions that can create therapeutic dilemma in the pediatric population. Intralesional injection of calcitonin and methylprednisolone can prove to be a safer and efficacious treatment modality. Keywords: Pediatric spinal tumors, aneurysmal bone cyst, intralesional injection, calcitonin, methylprednisolone.
ISSN:2321-3817
2250-0685
2321-3817
DOI:10.13107/jocr.2023.v13.i09.3872