medigraphic.com

2006, Number 5

<< Back Next >>

Cir Cir 2006; 74 (5)

Aneurysmal bone cyst of the spine. Case report

Rosales-Olivares LM, Baena-Ocampo LC, Miramontes-Martínez VP, Alpízar-Aguirre A, Reyes-Sánchez A

Language: Spanish
References: 25
Page: 377-380
PDF size: 128.33 Kb.


ABSTRACT

The aneurysmal bone cyst (ABC) is a fast-growing tumor of undefined neoplastic nature. It is occasionally an aggressive benign lesion whose treatment of choice is a complete resection, even though the risk of profuse transoperative bleeding exists. We present a female patient with thoracic spine deformity, with progressive paresthesias and muscle weakness of lower extremities that evolved to paralysis of both lower extremities and sphincter incontinence. Based on radiographic films, lytic lesions were identified at T7 to T9 vertebrae as well as medullary space invasion. In electrophysiologic tests, a complete somatosensorial pathway block was reported. Prior to resection of the neoplastic lesion and thoracolumbar stabilization, an incisional biopsy was performed. There was no postoperative medullary functional improvement. Morphological findings corresponded to an aneurysmal bone cyst at T8. This lesion is mainly located in the long bones and less frequenly of the spine, where instability and medullary compression may occur. It is possible to confuse this neoplasia with other lesions. Hence, definite diagnosis with biopsy is necessary for determining an adequate therapeutic plan to eradicate recurrence risk or associated neurologic sequelae, as well as to gain proper stability at the involved vertebral segments.


REFERENCES

  1. Rosenberg AE. Aneurysmal bone cyst. Tumours of Soft Tissue and Bone, Pathology and Genetics, World Health Organization Classification of Tumours. Lyon, France;2002. pp. 338-339.

  2. Onimus M, Belot G, Vauzelle JL. A case of aneurysmal cyst of the spine. Pathogenic and therapeutic problems. Rev Chir Orthop Reparatrice Appar Mot 1984;70:335-341.

  3. Ruiter DJ, van Rijssel TG, van der Velde EA. Aneurysmal bone cysts: a clinicopathological study of 105 cases. Cancer 1977;39:2231-2239.

  4. 4.Vergel De Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst: a clinical study of 238 cases. Cancer 1992;69:2921-2931.

  5. Cottalorda J, Kohler R. Epidemiology of aneurysmal bone cyst in children: a multicenter study and literature review. J Pediatr Orthop B 2004;13:389-394.

  6. De Kleuver M, van der Heul RO, Veraart BE. Aneurismal bone cyst of the spine: 31 cases and the important of the surgical approach. J Pediatr Orthop B 1998;7:286-292.

  7. Ramirez AR, Stanton RP. Aneurysmal bone cyst in 29 children. J Pedriatr Orthop 2002;22:533-539.

  8. Boriani S, De Iure F, Campanacci L, Gasbarrini A, Bandiera S, Biagini R, et al. Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine 2001;26:27-35.

  9. Capanna R, Albisinni U, Picci P, Calderoni P, Campanacci M, Springfield DS. Aneurysmal bone cyst of the spine. J Bone Joint Surg Am 1985;67:527-531.

  10. Gruszkiewicz J, Doron Y, Peyser E, Folman J, Borovich B. Aneurismal bone cyst of spine. Acta Neurochir 1982;66:109-121.

  11. Hay MC, Paterson D, Taylor TK. Aneurysmal bone cysts of the spine.J Bone Joint Surg Br 1978;60-B:406-411

  12. Papagelopoulos PJ, Currier BL. Aneurysmal bone cyst of the spine. Management and outcome. Spine 1998;23:621-628.

  13. Ameli NO, Abbassioun K, Saleh H Eslamdoost A. Aneurismal bone cyst of the spine. Report of 17 cases. J Neurosurg 1985;63:685-690.

  14. Lifeso RM, Younge D. Aneurysmal bone cysts of the spine. Int Orthop 1985;8:281-285.

  15. 15.Stiles RG, Spottswood SE, Jolgren DL, Stewart JR, DeVito DP, Schwartz HS. J Spinal Disord 1991;4:104-109.

  16. Gupta VK, Gupta SK, Khosla VK, Vashisth RK Kak VK. Aneurismal bone cyst of the spine. Surg Neurol 1994;42:428-432.

  17. Karparov M, Kitov D. Aneurysmal bone cyst of the spine. Acta Neurochir (Wien) 1977;39:101-113.

  18. Liu JK, Brockmeyer DL. Surgical management of aneurysmal bone cysts of the spine. Neurosurg Focus 2003;15:E4.

  19. Ozaki T, Hillmann A, Lindner N, Winkelmann W. Aneurysmal bone cyst in children. J Cancer Res Clin Oncol 1996;122:767-769.

  20. DiCaprio MR, Murphy MJ, Camp RL. Aneurismal bone cyst of spine with familial incidence. Spine 2000;25:1589-1592.

  21. Bauer R. Cirugía Ortopedica. Columna. Capitulo I 1a. Stuttgart: Ed. Marban;1998. pp. 17-27.

  22. Cybulski GR, Anson J, Gleason T, Homsi MF, Reyes MG. Aneurysmal bone cyst of the thoracic spine: treatment by excision and segmental stabilization with Luque rods. Neurosurgery 1989;24:273-276.

  23. Mehdian H, Weatherley C. Combined anterior and posterior resection and spinal stabilization for aneurysmal bone cyst. Eur Spine J 1995;4:123-125.

  24. 24.Turker RJ, Mardjetko S. Aneurysmal bone cysts of the spine: excision and stabilization. J Pediatr Orthop 1998;18:209-213.

  25. Koci TM, Mehringer CM, Yamagata N, Chiang F. Aneurysmal bone cyst of the thoracic spine: evolution after particulate embolization. AJNR 1995;16:857-860.




2020     |     www.medigraphic.com