Reconstruction with fascia lata allograft of the posterior vertebra elements after resection for aneurysmal bone cyst in a child.
We report a case of ABC in a child where, after resection of the posterior spinal column of L1, we did a biological reconstruction using a posterior tension band with a segment of fascia lata allograft in tension between T12 and L2. After the long term follow up, X-ray and MRI controls showed a satisfactory alignment of the spine and no local recurrence. The patient now has no sign of spinal instability or deviation, with no kind of discomfort or pain, and has a normal life. In our experience this biological tension band interferes minimally with the growth of the spine, and has a less number of complications in comparison with other more aggressive methods and so is a good option for restoring the stability in young patients with benign spinal tumors that arises on the posterior column without having any kind of potential deviations.
Errani
Costantino
C
V Division Musculoskeletal Oncology Department, Rizzoli Institute, Via Pupilli n1, Bologna, Italy. le12316@iperbole.bologna.it
Schuster
Sergio
S
Biagini
Roberto
R
Casadei
Roberto
R
De Paolis
Massimiliano
M
Bertoni
Franco
F
Boriani
Stefano
S
Mercuri
Mario
M
D017824:Bone Cysts, Aneurysmal / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D014184:Transplantation, Homologous