1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1097/01.brs.0000222126.91514.cb" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.brs.0000222126.91514.cb</a> Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Pages E475-E479 Issue 14 Volume 31 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource An aneurysmal bone cyst in the cervical spine of a 10-year-old girl: A case report Publisher An entity responsible for making the resource available Spine Date A point or period of time associated with an event in the lifecycle of the resource 2006 2006-06 Subject The topic of the resource Orthopedics; Neurosciences & Neurology; tumors; pathogenesis; laminectomy; decompression; aneurysmal bone cyst; posterior instrumented fusion; postlaminectomy kyphosis; surgical excision Creator An entity primarily responsible for making the resource 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 Description An account of the resource 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. Identifier An unambiguous reference to the resource within a given context <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> Format The file format, physical medium, or dimensions of the resource Journal Article or Conference Abstract Publication 2006 aneurysmal bone cyst Beiner J M Berchuck M Brown A K Decompression Grauer J N Journal Article or Conference Abstract Publication Kwon B K Laminectomy Neurosciences & Neurology Orthopedics Pathogenesis posterior instrumented fusion postlaminectomy kyphosis Ratliff J K Sastry A Spine Stock G H surgical excision tumors Vaccaro A R