Unicameral bone cyst of a cervical vertebral body and lateral mass with associated pathological fracture in a child

Snell, Brian E.; Adesina, Adekunle; Wolfla, Christopher E.

doi:10.3171/spi.2001.95.2.0243

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…Among the 14 cases, 6 cases occurred in vertebral bodies, 2,5-7,9,14 6 cases occurred in the posterior column (spinous process or lamina), 3,4,10-12,15 and 2 cases occurred in all three columns. 8,13 Our case is the first reported occurrence of a simple bone cyst located in the pedicle of the lumbar spine.…”

Section: Discussionmentioning

confidence: 84%

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A Simple Bone Cyst Located in the Pedicle of the Lumbar Vertebra

Ogata

Matsuda²,

Hino³

et al. 2004

Journal of Spinal Disorders &Amp; Techniques

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A simple bone cyst located in the spine is rare. In the current work, we have documented the first case of a simple bone cyst located in the pedicle of the lumbar vertebra. The patient was a 50-year-old woman with low back pain. Radiographs of the lumbar region of the spine showed a well circumscribed radiolucent lesion with surrounding bone sclerosis in the right pedicle of L3. Computed tomography (CT) showed that the right pedicle was completely occupied by the cyst and slightly expanded. The cystic lesion extended to both the vertebral body and the lamina. T1-weighted magnetic resonance imaging (MRI) showed uniform low intensity, and T2-weighted MRI showed uniform very high intensity. Signal enhancement by gadolinium diethylenetriaminepenta-acetic acid was not observed in the lesion. During the operation, the cavity of the cyst was filled with 2 mL of serosanguinous fluid. Subsequent histologic examination showed a thin layer of connective tissue in the inner surface of the cyst.

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Section: Discussionmentioning

confidence: 84%

“…Only 14 cases of simple bone cysts in vertebrae have been reported until now. [2][3][4][5][6][7][8][9][10][11][12][13][14][15] Most of the cysts occurred in the vertebral body or the spinous process. Here we report a case of a simple bone cyst involving the pedicle of the third lumbar vertebra in a 50-yearold woman.…”

mentioning

confidence: 99%

A Simple Bone Cyst Located in the Pedicle of the Lumbar Vertebra

Ogata

Matsuda²,

Hino³

et al. 2004

Journal of Spinal Disorders &Amp; Techniques

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“…There is still no agreement regarding the best therapeutic approach [7, 9, 11]. Because of the high rate of recurrence in young patients, surgery is not always the election treatment [10], but it might be considered when they present in rare anatomic locations such as the spine since their rates of recurrence are lower.…”

Section: Discussionmentioning

confidence: 99%

A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient

Boude

Vásquez

Alvarado-Gómez

et al. 2017

Case Reports in Orthopedics

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Introduction Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature. Case Presentation Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reported. Complementary studies suggested the benign nature of the lesion. Patient underwent cervical curettage followed by tumor excision. A lateral submandibular approach to the upper cervical spine was used and careful bone resection was possible with a radiofrequency assisted burr and no instrumentation or fixation was required. The stability of the defect was ensured by filling it with bone allograft and by prescribing a postsurgical plastic cervical collar to maintain neck immobilization. Histological examination supported the diagnosis of simple bone cyst. At 6–12-month follow-up the patient presented no recurrence or symptomatology. Conclusions Solitary bone cysts are infrequent entities in the cervical vertebrae and preservation of spine stability without instrumentation to avoid neurological complications is often challenging. In this case, the proximity of the cyst to the right vertebral artery and the risk of injury were high; however the surgical approach used was successful and no recurrence or instability was evidenced on postoperative MRI.

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“…In vertebral location, previous studies show the different treatment options such as (1) aspirate with corticosteroid injection [ 6 ] has been described for smaller lesions in the vertebral body; (2) simple resection [ 7 – 9 ], curettage [ 10 – 15 ], or resection with curettage [ 8 , 11 , 15 ]; (3) other authors have described curettage and filling with autologous graft [ 2 , 16 – 22 ] or filling with hydroxyapatite [ 13 ]; (4) resection with arthrodesis due to the location and possible instability after resection [ 5 , 10 , 23 , 24 ]. No case described to date has been treated with polymethylmethacrylate (PMMA) injection in vertebral location.…”

Section: Introductionmentioning

confidence: 99%

Solitary Bone Cyst in the Lumbar Spine: Case Report and Literature Review

Ramírez-Villaescusa,

Ruiz-Picazo,

Verdejo-González

et al. 2024

Case Reports in Orthopedics

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Introduction. To describe a rare case of solitary bone cyst in the vertebral body of the lumbar vertebra in an adult patient. The solitary bone cyst is defined as a cystic lesion with liquid content. Few cases have been described in the vertebral location without preference for the posterior arch or vertebral body. Most have been treated with resection, curettage, and/or grafting. No case described to date has been treated with polymethylmetacrylate (PMMA) injection in the vertebral location. Case Presentation. A 50‐year‐old male patient was consulted for lumbar pain with no traumatic history and no neurologic deficit. The radiological study showed lumbar arthrodesis with L2‐L4 instrumentation due to an L3 fracture twenty years earlier. Computed tomography (CT) scan showed a lytic lesion occupying practically the entire vertebral body of L5, with incomplete septum and sclerotic edge, without cortical rupture. The previous steel instrumentation was removed, to avoid the presence of artifacts when performing the magnetic resonance (MR), and a biopsy of L5 vertebra was performed via transpedicular in the same act. The MR study findings and biopsy were compatible with the simple bone cyst. Finally, a new intervention was performed by filling the lesion with PMMA. Follow‐up at 5 years was satisfactory without lumbar pain as well as the radiological study and with a return to previous activity. Conclusions. The spinal location of the simple bone cyst is extremely infrequent. Its diagnosis excludes other lesions and is made by imaging studies and biopsy. Treatment can be performed by excision, curettage, or filling with graft or as in this case, with PMMA.

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Unicameral bone cyst of a cervical vertebral body and lateral mass with associated pathological fracture in a child

Cited by 8 publications

References 9 publications

A Simple Bone Cyst Located in the Pedicle of the Lumbar Vertebra

A Simple Bone Cyst Located in the Pedicle of the Lumbar Vertebra

A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient

Solitary Bone Cyst in the Lumbar Spine: Case Report and Literature Review

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