• L Casabianca, A Journé, G Mirouse, M Zerah, D Moulies, C Glorion, and T Odent.
• Service d'orthopédie infantile, Hôpital Universitaire Necker Enfants Malades, Assistance Publique Hôpitaux de Paris, 149 Rue de Sèvres, 75015, Paris, France, laurent.casabianca@hotmail.fr.
• Eur Spine J. 2015 Jun 1;24(6):1330-6.

IntroductionSolid aneurysmal bone cyst (S-ABC) is a variant of aneurysmal bone cyst (ABC), an uncommon benign bone tumor. There are few cases described in the cervical spine in kids up today. We treated a recurrent case with neurological involvement that needed multiple surgical procedures and radiotherapy.Case PresentationWe report a case of C4 located S-ABC concerning a 2-year-old boy treated surgically by anterior and posterior approach. Three months after the initial procedure appearance of a tetraparesis led to diagnose a local recurrence treated by sclerotherapy and a second surgery. The patient had a full neurological recovery. Three months later, a follow-up CT scan showed a second recurrence requiring a new surgical revision by anterior approach and radiotherapy.OutcomeAt 6-year follow-up after four surgical procedures, sclerotherapy and radiotherapy, the aneurysmal bone cyst has been healed. Patient had neurological impairment after a local recurrence but had full recovered after final revision surgery.

26 keywords...

hide…