An aneurysmal bone cyst in the cervical spine of a 10-year-old girl: A case report
Orthopedics; Neurosciences & Neurology; tumors; pathogenesis; laminectomy; decompression; aneurysmal bone cyst; posterior instrumented fusion; postlaminectomy kyphosis; surgical excision
Study Design. An aneurysmal bone cyst in the neural arch of the fourth cervical vertebra of a 10-year-old girl is reported, along with a brief review of the literature on the topic. Objective. To report the presentation and diagnosis of this disorder along with a discussion of the major pitfalls of treatment. Summary of Background Data. An aneurysmal bone cyst occurs commonly in the second decade, with a predilection for the lumbar spine. With occurrence in the neural arch of a cervical vertebra, the potential for instability following surgical excision is high. Methods. A 10-year-old white female presented with neck pain of 3 months' duration. Diagnostic imaging revealed an expansile lytic lesion in the spinous process and lamina of the fourth cervical vertebra. Surgical treatment consisted of excisional biopsy and a segmental instrumented posterior fusion from C3 - C5. The histopathology was consistent with an aneurysmal bone cyst. Results. Surgical excision consisting of laminectomy and instrumented segmental fusion provided a good clinical result, and minimized the risk and degree of the 2 most common complications: recurrence of the tumor; and postlaminectomy kyphosis, a frequent occurrence in the pediatric population. Conclusions. In pediatric patients who develop a bone tumor of the posterior elements of the cervical spine, careful clinical and radiologic evaluation is necessary to narrow the differential diagnosis. In most cases, a complete excision should be performed if possible. The risk of postlaminectomy kyphosis is high in the pediatric age population. As such, a fusion should be considered whenever a laminectomy is performed in the immature cervical spine. Risk factors for kyphosis include a high cervical level, multiple laminectomy levels, and postoperative irradiation.
Beiner J M; Sastry A; Berchuck M; Grauer J N; Kwon B K; Ratliff J K; Stock G H; Brown A K; Vaccaro A R
Spine
2006
2006-06
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/01.brs.0000222126.91514.cb" target="_blank" rel="noreferrer noopener">10.1097/01.brs.0000222126.91514.cb</a>
Microdecompression for lumbar spinal canal stenosis
laminectomy; lumbar spine; microdecompression; Neurosciences & Neurology; Orthopedics; spinal canal stenosis
Study Design. A description of the technique for lumbar microdecompression and a prospective study of the outcomes. Objective. To describe and analyze a technique that affords an excellent decompression while minimizing damage to surrounding tissues. Summary of Background Data. Commonly used techniques of lumbar decompression that include bilateral takedown of paraspinal musculature and aggressive bony resection can result in significant iatrogenic sequelae. A less destructive alternative is needed. Methods. Unilateral limited takedown of multifidus was undertaken, and ipsilateral decompression performed. The contralateral side then was addressed under the midline structures with microscopic visualization-thereby preserving the supra-/interspinous ligament complex and the contralateral musculature. Thirty consecutive patients undergoing the procedure were analyzed prospectively and after a follow-up period by independent observers using a modified validated functional outcome score and patient satisfaction measures. Results. The technique affords an excellent decompression while minimizing destruction to tissues not directly involved in the pathologic process. Functional outcome scores doubled, and 87% of patients reported high satisfaction rates. Conclusions. Lumbar microdecompression is a minimally invasive technique that appears to provide excellent functional outcomes.
Weiner B K; Walker M; Brower R S; McCulloch J A
Spine
1999
1999-11
Journal Article
<a href="http://doi.org/10.1097/00007632-199911010-00016" target="_blank" rel="noreferrer noopener">10.1097/00007632-199911010-00016</a>
Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited.
Spinal Fusion; Descriptive Statistics; Clinical Trials; Systematic Review; Laminectomy; Treatment Outcomes; Chronic Pain; Diskectomy; Spinal Stenosis – Surgery; Low Back Pain – Surgery; Radiculopathy – Surgery
Rothschild B; Chou R
ACP Journal Club
2009
2009-10-20
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.7326/0003-4819-151-8-200910200-02011" target="_blank" rel="noreferrer noopener">10.7326/0003-4819-151-8-200910200-02011</a>
Tethered cord syndrome in a 24-year-old woman presenting with urinary retention.
Adult; Female; Hematuria/*etiology; Humans; Laminectomy; Lipoma/complications/surgery; Neural Tube Defects/*complications/*diagnosis/surgery; Urinary Retention/*etiology; Urodynamics/physiology
We discuss a case of newly diagnosed tethered cord syndrome (TCS) in a
Tareen Basir; Memo Mark; Cerone Jeff; Bologna Raymond; Flora Robert
International urogynecology journal and pelvic floor dysfunction
2007
2007-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s00192-006-0192-9" target="_blank" rel="noreferrer noopener">10.1007/s00192-006-0192-9</a>