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2023, Number 2

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Ortho-tips 2023; 19 (2)

Giant cell tumor in the pediatric spine

Delángel SCBB, Vilchis SH, Sandoval PA, Pinzón LCY

Language: Spanish
References: 20
Page: 96-101
PDF size: 235.00 Kb.


ABSTRACT

Introduction: giant cell tumor is a primary and benign tumor of bone, locally aggressive, rarely occurring in the pediatric age and located in the thoracic spine. Objective: the objective of this work is to present the presentation of this pathology, the approach to diagnosis and diagnosis, planning, surgical treatment and subsequent results with multidisciplinary follow-up for 10 years. Results: a 9-year-old male with no comorbidities with onset of disease in 2011 characterized by clinical picture of 7 months of evolution consisting of dorsalgia, gait disturbances, progressive paraparesis in pelvic limbs. By means of clinical-pathological correlation, the diagnosis of giant cell tumor was made. Pedicle instrumentation of T2-T3 was performed, with bridging to T4 and distal fixation of T5-T6 with an Axon type facet/pedicle system implant, followed by adjuvant therapy with radiotherapy. The patient presents favorable postoperative evolution with restitution of strength, sensibility and without tumor recurrence. Conclusion: in the presence of progressive neuromotor symptoms, an adequate study protocol must be carried out, taking into account the various differential diagnoses. The treatment of spinal neoplasms is ideally the complete resection of the tumor lesion to avoid recurrence, as well as to achieve an adequate decompression of the spinal canal for the complete remission of neurological symptoms, the surgical treatment can be complemented with adjuvant therapies as in this case radiotherapy to reduce the risk of recurrence.


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