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KMID : 0613319990050010076
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Journal of the Korean Bone and Joint Tumor Soceity
1999 Volume.5 No. 1 p.76 ~ p.81
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Aneurysmal Bone Cyst of the Thoracic Spine with Scoliosis -Case Report-
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Han Chung-Soo
Kim Ki-Tack
Cho Chang-Hyun
Yang Hyoung-Seop
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Abstract
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Aneurysmal bone cysts are uncommon bony lesions of the spine. Approximately 3-20% of the aneurysmal bone cysts occur in the spine, predominantly in the lumbar region, but they may occur at the any level of the spine. These lesions commonly arise from the neural arch and occasionally invade tile pedicle and the vertebral body The clinical diagnosis of a spinal lesion can be very difficult in the early stages of the disease because specific symptoms and signs are usually absent or only amount to back pain. However, depending on the level of involvement and the extent of neurological compression, a wide variety of neurological symptoms and signal may appear, ranging from mild radicular symptoms to complete paraplegia or tetraplegia. Available treatment options include complete excision or curettage of the lesion with bone graft, but where excision cannot be achieved, low dose radiation or arterial embolization may be used. We report a case of aneurysmal bone cyst in the pedicle of the T10 spine with nonstructural scoliosis of 40° Cobb’s angle which was treated successfully with only curettage of the lesion.
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KEYWORD
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Aneurysmal bone cyst, Thoracic spine, Scoliosis
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