A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient
Introduction. Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature. Case Presentation. Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reporte...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/8908216 |
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| author | Adriana Bruges Boude Lina González Vásquez Fernando Alvarado-Gomez María Constanza Bedoya Andrés Rodríguez-Múnera Luis Carlos Morales-Saenz |
| author_facet | Adriana Bruges Boude Lina González Vásquez Fernando Alvarado-Gomez María Constanza Bedoya Andrés Rodríguez-Múnera Luis Carlos Morales-Saenz |
| author_sort | Adriana Bruges Boude |
| collection | DOAJ |
| description | Introduction. Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature. Case Presentation. Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reported. Complementary studies suggested the benign nature of the lesion. Patient underwent cervical curettage followed by tumor excision. A lateral submandibular approach to the upper cervical spine was used and careful bone resection was possible with a radiofrequency assisted burr and no instrumentation or fixation was required. The stability of the defect was ensured by filling it with bone allograft and by prescribing a postsurgical plastic cervical collar to maintain neck immobilization. Histological examination supported the diagnosis of simple bone cyst. At 6–12-month follow-up the patient presented no recurrence or symptomatology. Conclusions. Solitary bone cysts are infrequent entities in the cervical vertebrae and preservation of spine stability without instrumentation to avoid neurological complications is often challenging. In this case, the proximity of the cyst to the right vertebral artery and the risk of injury were high; however the surgical approach used was successful and no recurrence or instability was evidenced on postoperative MRI. |
| format | Article |
| id | doaj-art-22cde80bf685444b9198b27510227c84 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-22cde80bf685444b9198b27510227c842025-02-03T07:24:06ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/89082168908216A Simple Bone Cyst in Cervical Vertebrae of an Adolescent PatientAdriana Bruges Boude0Lina González Vásquez1Fernando Alvarado-Gomez2María Constanza Bedoya3Andrés Rodríguez-Múnera4Luis Carlos Morales-Saenz5Department of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaDepartment of Orthopedic Surgery, Fundación Santa Fe de Bogotá, Bogotá, ColombiaIntroduction. Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature. Case Presentation. Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reported. Complementary studies suggested the benign nature of the lesion. Patient underwent cervical curettage followed by tumor excision. A lateral submandibular approach to the upper cervical spine was used and careful bone resection was possible with a radiofrequency assisted burr and no instrumentation or fixation was required. The stability of the defect was ensured by filling it with bone allograft and by prescribing a postsurgical plastic cervical collar to maintain neck immobilization. Histological examination supported the diagnosis of simple bone cyst. At 6–12-month follow-up the patient presented no recurrence or symptomatology. Conclusions. Solitary bone cysts are infrequent entities in the cervical vertebrae and preservation of spine stability without instrumentation to avoid neurological complications is often challenging. In this case, the proximity of the cyst to the right vertebral artery and the risk of injury were high; however the surgical approach used was successful and no recurrence or instability was evidenced on postoperative MRI.http://dx.doi.org/10.1155/2017/8908216 |
| spellingShingle | Adriana Bruges Boude Lina González Vásquez Fernando Alvarado-Gomez María Constanza Bedoya Andrés Rodríguez-Múnera Luis Carlos Morales-Saenz A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient Case Reports in Orthopedics |
| title | A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient |
| title_full | A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient |
| title_fullStr | A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient |
| title_full_unstemmed | A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient |
| title_short | A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient |
| title_sort | simple bone cyst in cervical vertebrae of an adolescent patient |
| url | http://dx.doi.org/10.1155/2017/8908216 |
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