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CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 52-54

Aneurysmal bone cyst of C2, C3 cervical spine: A rare case report and review of literature


1 Senior Resident, Department of Neurosurgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
2 Assistant Professor, Department of Neurosurgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
3 Professor and Head, Department of Neurosurgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India

Correspondence Address:
M A Naveen
Senior Resident, Department of Neurosurgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1056

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Aneurysmal bone cysts (ABCs) are benign lesions occurring predominantly in metaphysis of long bones. Lesions involving the cervical spine comprise 1% of all spinal ABCs. We report a rare case of C2, C3 ABC in a 39-year-old male patient, who presented with progressive weakness of all four limbs since 8 months. Magnetic resonance imaging (MRI) of spine showed an expansile osteolytic mixed intensity lesion with fluid level involving the body of axis and left pedicle causing significant compression on thecal sac posteriorly suggestive of ABC. Decompression of the cyst along with occipitocervical stabilization with iliac crest bone grafting by combined anterior and posterior approach was done. Histopathological examination revealed trabeculated, dilated vascular beds consistent with the diagnosis of ABC. The patient's neurological status improved immediately after surgery and he continues to do well 6 months postoperatively. Conclusion: Aneurysmal bone cyst of the cervical spine is very rare. It requires thorough neural decompression and 360° fusion for better stability and outcome.


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