Republished: Just a drop of cement: a case of cervical spine bone aneurysmal cyst successfully treated by percutaneous injection of a small amount of polymethyl-methacrylate cement

Aneurysmal bone cyst (ABC) is a benign hemorrhagic tumor, commonly revealed by local pain. The best treatment for this lesion is still controversial. We report the case of a patient with chronic neck pain revealing an ABC of the third cervical vertebra. After percutaneous injection of a small amount of polymethyl-methacrylate bone cement, the patient experienced significant clinical and radiological improvement.

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Aneurysmal bone cyst: a report of three cases.

Archives of Disease in Childhood ◽

10.1136/adc.53.11.899 ◽

1978 ◽

Vol 53 (11) ◽

pp. 899-901 ◽

Cited By ~ 6

Author(s):

C R Pullan ◽

F W Alexander ◽

P C Halse

Keyword(s):

Aneurysmal Bone Cyst ◽

Bone Cyst ◽

Cervical Vertebra ◽

Malignant Tumour ◽

Bone Cysts ◽

Good Recovery ◽

The Third ◽

Aneurysmal Bone Cysts

Three children presenting with aneurysmal bone cysts are described. The first patient was 10 months old with a cyst of the scapula. The second was more typical but his cyst was treated initially as a malignant tumour. In the third child the second cervical vertebra was affected which posed considerable problems of management; it was treated by radiotherapy. Despite the problems all 3 children have made a good recovery.

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Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186601 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6601 ◽

Cited By ~ 2

Author(s):

Jacobo Rodríguez-Sanz ◽

Miguel Malo-Urriés ◽

Jaime Corral-de-Toro ◽

Carlos López-de-Celis ◽

María Orosia Lucha-López ◽

...

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Manual Therapy ◽

Exercise Program ◽

Chronic Neck Pain ◽

Exercise Group ◽

Home Exercise ◽

Upper Cervical Spine ◽

Upper Cervical ◽

Cervical Spine Dysfunction

Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.

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Cervical pneumatocyst

Journal of Neurosurgery Spine ◽

10.3171/2011.5.spine10627 ◽

2011 ◽

Vol 15 (3) ◽

pp. 332-335 ◽

Cited By ~ 7

Author(s):

Jason M. Hoover ◽

Doris E. Wenger ◽

Laurence J. Eckel ◽

William E. Krauss

Keyword(s):

Cervical Spine ◽

Carpal Tunnel Syndrome ◽

Neck Pain ◽

Carpal Tunnel ◽

Chronic Neck Pain ◽

Cervical Radiculopathy ◽

Disc Disease ◽

Left Hand ◽

Tunnel Syndrome ◽

Multilevel Fusion

The authors present the case of a 56-year-old right hand–dominant woman who was referred for chronic neck pain and a second opinion regarding a cervical lesion. The patient's pain was localized to the subaxial spine in the midline. She reported a subjective sense of intermittent left arm weakness manifesting as difficulty manipulating small objects with her hands and fingers. She also reported paresthesias and numbness in the left hand. Physical and neurological examinations demonstrated no abnormal findings except for a positive Tinel sign over the left median nerve at the wrist. Electromyography demonstrated bilateral carpal tunnel syndrome with no cervical radiculopathy. Cervical spine imaging demonstrated multilevel degenerative disc disease and a pneumatocyst of the C-5 vertebral body. The alignment of the cervical spine was normal. A review of the patient's cervical imaging studies obtained in 1995, 2007, 2008, and 2010 demonstrated that the pneumatocyst was not present in 1995 but was present in 2007. The lesion had not changed in appearance since 2007. At an outside institution, multilevel fusion of the cervical spine was recommended to treat the pneumatocyst prior to evaluation at the authors' institution. The authors, however, did not think that the pneumatocyst was the cause of the patient's neck pain, and cervical pneumatocysts typically have a benign course. As such, the authors recommended conservative management and repeated MR imaging in 6 months. Splinting was used to treat the patient's carpal tunnel syndrome.

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