title: [Giant cell tumor of the lumbar spine. Case report and review of the literature].
abstract: We report the case of a 32-year-old patient complaining of chronic low back pain radiating to his left thigh. His MRI showed a lytic L1 vertebral body injury. A transpedicular biopsy confirmed the diagnosis of giant cell tumor. He underwent a L1 vertebrectomy and vertebral body replacement with a titanium cylinder using anterior approach, followed by the removal of the L1 posterior arch and the placement of pedicle screws through a posterior approach. The giant cell tumor is a rare benign primary bone tumor that can be locally aggressive and can potentially spread to other areas, usually to the lungs. Although it most frequently affects long bones, approximately 10% of tumors are located in the spine. To minimise the risk of recurrence, the elective management option is surgery.
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España. Electronic address: gorkazabalo88@gmail.com.
authors.forename: Gorka
authors.initials: G
authors.lastname: Zabalo
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Ortega
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Vázquez
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.
authors.forename: Ianire
authors.initials: I
authors.lastname: Carballares
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.
authors.forename: Jorge
authors.initials: J
authors.lastname: Díaz
authors.affiliation: Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Portillo
mesh_terms: D000328:Adult; D005870:Giant Cell Tumors / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000601:surgery
keywords: Dolor lumbar; En bloc spondylectomy; Estadificación tumoral; Giant cell tumor; Instrumentación raquis; Low back pain; Neoplasm staging; Primary bone tumors; Spinal instrumentation; Tumor de células gigantes; Tumores óseos primarios; Vertebrectomía en bloque