Case Report
Aneurysmal Bone Cyst of D2 in a Child complicated with paraplegia.
Abstract
Aneurysmal bone cysts (ABCs) are benign osteolytic lesion representing 15% of all primary spine tumors. We report a case of a 9-year-old girl who had an ABCs localized in D2.
Symptoms involved back pain and paraplegia. Radiology investigations showed osteolysis of D2 and anterolisthesis of C7 and D1.
The patient had a posterior decompression and laminectomy of D2, D3 and D4 without neurological improvement. Surgical biopsy confirmed the diagnosis.
Computed tomography scan showed tumor remnants. An embolization of the tumor and an anterior liberation associated with bone graft were performed.
The result was a spectacular neurological improvement with disappearing of all neurological symptoms. Radiology investigations follow up showed only spine instability but no residual tumor.
Key words: Tumor; Cyst; Bone; Spine.