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

Michael M. McDowell, Simon J. Hanft, Sophie A. Greenberg, Rahmatullah Rahmati, Vincent Carrao, Sidney Eisig, Richard C.E. Anderson

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)622-625
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume13
Issue number6
DOIs
StatePublished - Jun 2014
Externally publishedYes

Keywords

  • Aneurysmal vertebral cyst
  • Anterior fusion
  • Osteotomy
  • Pediatric
  • Spine
  • Transmandibular approach

Fingerprint

Dive into the research topics of 'Resection of an upper cervical aneurysmal bone cyst and spinal reconstruction using a midline mandibular osteotomy in a pediatric patient: Case report'. Together they form a unique fingerprint.

Cite this