Single-Staged Transoral Intra-Lesional Excision of Aneurysmal Bone Cyst of Axis (C2) Vertebra and Temporary Stabilization of Upper Cervical Spine in an Adolescent: A Case Report

Aneurysmal bone cyst (ABC) infrequently occurs within the upper cervical vertebrae. Various therapeutic options have been reported in the literature. We would like to share our experience in managing a case of a 16-year-old girl diagnosed with ABC at the body of axis (C2) vertebra. Serious attention had to be given on the stability of the cervical spine following tumour resection, which can be affected by the mode of treatment chosen. Instability can have a detrimental effect on the cervical spine, in which case may necessitate further surgery. We performed a single-staged intra-lesional curettage via a transoral approach and temporary non-fusion posterior stabilization of C1 lateral mass screw and C2 pedicle screw. The implants were removed after six months once ossification of C2 has taken place to regain full motion of the neck. There was no evidence of recurrence or instability of the cervical spine three years following surgery.

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Resection of an upper cervical aneurysmal bone cyst and spinal reconstruction using a midline mandibular osteotomy in a pediatric patient

Journal of Neurosurgery Pediatrics ◽

10.3171/2014.3.peds13511 ◽

2014 ◽

Vol 13 (6) ◽

pp. 622-625 ◽

Cited By ~ 6

Author(s):

Michael M. McDowell ◽

Simon J. Hanft ◽

Sophie A. Greenberg ◽

Rahmatullah Rahmati ◽

Vincent Carrao ◽

...

Keyword(s):

Cervical Spine ◽

Pediatric Patient ◽

Aneurysmal Bone Cyst ◽

Posterior Instrumentation ◽

Bone Cyst ◽

Neurological Complications ◽

Upper Cervical Spine ◽

Spinal Reconstruction ◽

Upper Cervical ◽

Transmandibular Approach

The authors report on the surgical management of an extensive lesion of the upper cervical spine that required an uncommon transmandibular approach to facilitate exposure, resection, and stabilization in a pediatric patient. A 6-year-old boy with a large aneurysmal bone cyst of the C-2 vertebra presented with progressive weakness and right-sided neck pain. The lesion extended laterally into the soft tissue of the neck, inferiorly to C-4, and posteriorly around the spinal cord. A transmandibular osteotomy was performed to provide adequate exposure for complete resection of the mass and anterior C1–3 instrumentation and fusion. Subsequently, the patient underwent occiput to C-4 posterior instrumentation and fusion. The patient tolerated the operation well and had regained all function at 3 and 11 months' follow-up. No neurological complications or problems of speech, swallowing, or respiration occurred. Even in pediatric patients, the transmandibular approach for the treatment of upper cervical spine lesions is an effective method of maximizing exposure for complex lesions requiring resection and stabilization.

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Aneurysmal bone cyst of upper cervical spine surgical treatment

Ukrainian Neurosurgical Journal ◽

10.25305/unj.126756 ◽

2006 ◽

Vol 0 (1) ◽

pp. 104-110

Author(s):

E. I. Slynko ◽

A. M. Zolotoverkh ◽

A. I. Ermolyev

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Aneurysmal Bone Cyst ◽

Bone Cyst ◽

Upper Cervical Spine ◽

Upper Cervical

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Odontoid process fracture in 2 year old child: a rare case report

Romanian Neurosurgery ◽

10.1515/romneu-2017-0080 ◽

2017 ◽

Vol 31 (4) ◽

pp. 522-525

Author(s):

Prajapati Hanuman Prasad ◽

Singh Deepak Kumar ◽

Singh Rakesh Kumar ◽

Yadav Kuldeep

Keyword(s):

Cervical Spine ◽

Odontoid Process ◽

The Body ◽

Upper Cervical Spine ◽

Age Group ◽

Spine Injuries ◽

Rare Case Report ◽

Upper Cervical ◽

Cervical Spine Fractures ◽

Odontoid Process Fracture

Abstract In small childrens spine injuries are rare. In this age group upper cervical spine is commonally affected. Odontoid process fracture involve only a subset of cervical spine fractures. In small childrens, this fracture typically involves the cartilaginousplate that separates the odontoid process from the body of the axis. Odontoid processfracture is rare in children less than 7 years of age.

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Aneurysmal Bone Cyst of the Second Cervical Vertebrae Causing Multilevel Upper Cervical Instability

Journal of Spinal Disorders & Techniques ◽

10.1097/01.bsd.0000172073.38814.f9 ◽

2006 ◽

Vol 19 (1) ◽

pp. 73-75 ◽

Cited By ~ 12

Author(s):

David A Levin ◽

Robert N Hensinger ◽

Gregory P Graziano

Keyword(s):

Aneurysmal Bone Cyst ◽

Cervical Vertebrae ◽

Bone Cyst ◽

Cervical Instability ◽

Upper Cervical

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Upper Cervical Spine Anomalies and Osseous Nasopharyngeal Depth

Journal of Speech and Hearing Research ◽

10.1044/jshr.1401.14 ◽

1971 ◽

Vol 14 (1) ◽

pp. 14-22 ◽

Cited By ~ 28

Author(s):

George S. Osborne ◽

Samuel Pruzansky ◽

Herbert Koepp-Baker

Keyword(s):

Cervical Spine ◽

Matched Control ◽

Cervical Vertebrae ◽

Upper Cervical Spine ◽

Control Groups ◽

Control Subjects ◽

Significant Difference ◽

Upper Cervical

The purpose of this investigation was to determine the effect of anomalies of the upper cervical vertebrae on the antero-posterior diameter of the nasopharyngeal port. The osseous nasopharyngeal depth was determined from lateral roentgencephalograms for 38 congenital palatopharyngeal incompetent (CPI) patients with anomalies of the upper cervical vertebrae, 38 CPI patients without cervical anomalies, and 76 matched control subjects. Comparison of these measures between groups revealed a significantly greater osseous nasopharyngeal depth in those CPI patients with cervical anomalies. No significant difference existed between the CPI patients without cervical anomalies and their matched controls or between the two matched control groups.

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BONE REGENERATION AFTER HALO-TRACTION FOR ATLANTO-AXIAL TRAUMATIC DISLOCATION

Hirurgiâ pozvonočnika ◽

10.14531/ss2005.3.33-38 ◽

2005 ◽

pp. 033-038

Author(s):

Vladimir Alekseyevich Moiseenko ◽

Sergey Valeryevich Arzhanukhin

Keyword(s):

Cervical Spine ◽

Bone Regeneration ◽

Cervical Vertebrae ◽

Upper Cervical Spine ◽

Cervical Spine Injuries ◽

Halo Traction ◽

Spine Injuries ◽

Traumatic Dislocation ◽

Upper Cervical ◽

Traumatic Spondylolisthesis

Objectives. To analyze the outcomes of halo-traction for treatment of the upper cervical spine injuries. Materials and Methods. The outcomes of treatment of 354 patients with the trauma of the cervical spine were analyzed. Out of them 150 patients had injuries of С1–С2 (42,4 %). Bipolar halo-traction was used for treatment of fresh, old and neglected injuries with fragment dislocations in the upper cervical spine. Clinical, radiological and CT examinations of the cervical spine were performed. Results. Bipolar halo-traction was performed in 31 out of 59 patients with transdental dislocations, in 14 out of 26 patients with traumatic spondylolisthesis, and in 9 out of 13 patients with multifocal disorders. Monopolar halo-traction was used in 3 out of 7 patients with С1 Jefferson fractures. Satisfactory results were achieved in 47 out of 48 patients treated by halo-traction. The treatment has failed in one patient with a false joint of the dens and atlanto-axial instability. Conclusions. Bipolar halo-traction is effective for acute monofocal or multifocal injuries of the cervical spine, and for pathological course of bone regeneration after fractures of the upper cervical vertebrae.

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Relationship between the vertical craniofacial disproportions and the cervicovertebral morphology in adult subjects

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1602015t ◽

2016 ◽

Vol 144 (1-2) ◽

pp. 15-22

Author(s):

Milena Trajkovic ◽

Emira Lazic ◽

Nenad Nedeljkovic ◽

Zorana Stamenkovic ◽

Branislav Glisic

Keyword(s):

Cervical Spine ◽

Vertebral Body ◽

Cervical Vertebrae ◽

Body Height ◽

Morphological Characteristics ◽

Upper Cervical Spine ◽

Facial Growth ◽

Lateral Cephalograms ◽

Upper Cervical ◽

And Gender

Introduction. Orthodontic diagnosis includes the interpretation of the relations between the craniofacial and cervical system, given the potential impact of the irregularities from one system to another. Objective. The aim of this study was to examine morphological characteristics of the cervical spine, depending on the parameters of the vertical craniofacial growth and gender in adult subjects. Methods. The sample comprised lateral cephalograms of 120 subjects with different vertical facial growth, aged 17.5-35 years. Measured parameters were the following: anterior and posterior vertebral body height (ABHC2-C5, PBHC2-C5), anterior and posterior intervertebral space (AISC2-C5, PISC2-C5), distance between vertebrae and point sella (SC2, SC3, SC4), pterygomaxillare (PmC2), gonion (GoC2) and basion (BaC4); cervical spine angulation (OPT/CVT) and inclination (OPT/HOR, CVT/HOR). Results. Results showed that subjects with anterior facial growth rotation have greater values for BaC4, OPT/HOR, CVT/HOR, OPT/CVT, anterior and posterior vertebral body heights and intervertebral spaces, and lower values for GoC2 and PmC2. Higher values in males were found for anterior and posterior vertebral body heights, distances SC2, SC3, SC4, and BaC4. In females, the greater values were found for GoC2 and ???/?VT. Conclusion. Subjects with anterior facial growth rotation have greater cervical spine inclination and angulation, higher cervical vertebrae and intervertebral spaces, longer upper cervical spines and shorter distances GoC2 and PmC2. Males show smaller cervical column curvature, but higher cervical vertebrae and greater length of the upper cervical spine.

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Massive osteolysis of the skull and upper cervical spine

Journal of Neurosurgery ◽

10.3171/jns.1997.87.5.0773 ◽

1997 ◽

Vol 87 (5) ◽

pp. 773-780 ◽

Cited By ~ 5

Author(s):

Houman Khosrovi ◽

Orlando Ortiz ◽

Howard H. Kaufman ◽

Sydney S. Schochet ◽

Gurijala N. Reddy ◽

...

Keyword(s):

Cervical Vertebrae ◽

Disease Process ◽

The Body ◽

Spinal Instability ◽

Upper Cervical Spine ◽

New Bone Formation ◽

Content Type ◽

Massive Osteolysis ◽

Upper Cervical

✓ Massive osteolysis is a type of idiopathic osteolysis in which there is spontaneous onset of bone resorption. Almost any bone in the body can be affected. The authors present the case of a 62-year-old man diagnosed with massive osteolysis of the occipital bone and the upper two cervical vertebrae. Despite extensive pneumocephalus, no neurological sign or spinal instability was evident. In this case 4000 cGy of radiation in 200-cGy fractions was administered to the diseased area while the patient was kept in a Miami-J collar. At the 2-year follow-up examination, arrest of the disease process and new bone formation was evident on radiographic studies.

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