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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Detalles Bibliográficos
Autores principales: Prasad, Himanshu R, Murthy, P V Satyanarayana, Reddy, D Anjaneyulu, Lingala, Himakanth, Immaneni, Satish Rao, Reddy, A V Gurava
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519313/
https://www.ncbi.nlm.nih.gov/pubmed/37753143
http://dx.doi.org/10.13107/jocr.2023.v13.i09.3872
Descripción
Sumario: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.

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