Aneurysmal bone cyst of the cervical spine in a child: case report and review of the surgical role.
BACKGROUND
Surgical treatment of aneurysmal bone cysts of the cervical spine, frequently affecting pediatric patients, is a challenge to operating surgeons. Complete tumor resection offers the best chance for cure.


METHODS
We present the case of a child with an expansile aneurysmal bone cyst of the cervical spine that involves all 3 spinal columns. The advantages of combining a posterolateral followed by anterior approach after a preoperative angiography and vertebral artery balloon occlusion testing provided the added safety to maximize the extent of tumor resection. Spinal stabilization was successfully achieved in both approaches.


CONCLUSIONS
The challenge of surgically resecting aneurysmal bone cysts of the cervical spine in children enabled us to achieve a total resection with the help of preoperative angiography and vertebral artery balloon occlusion testing. Spinal instability should be addressed with reconstruction and stabilization techniques.
Khalil
Ismail M
IM
Division of Vascular Surgery, Department of Surgery, American University of Beirut Medical Center, PO Box 11-0236, Beirut 1107 2020, Lebanon.
Alaraj
Ali M
AM
Otrock
Zaher K
ZK
Chamoun
Roukoz B
RB
Sabbagh
Amira S
AS
Skaf
Ghassan S
GS
D000792:Angiography; D002574:Cervical Vertebrae / Q000473:pathology / Q000601:surgery*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009460:Neurologic Examination; D012680:Sensitivity and Specificity; D013122:Spinal Diseases / Q000175:diagnosis / Q000601:surgery*; D013123:Spinal Fusion; D014711:Vertebral Artery / Q000000981:diagnostic imaging