Abstract

Aneurysmal bone cyst has a benign, hypervascularized, aggressive behavior due to the progressive, destructive and compressive growth of adjacent structures. Its symptomatology is variable, being able to cause from pain to the patient to neurological complaints, preferentially affecting long bones and vertebrae [1-5]. We report a case of aneurysmal bone cyst of the cervical spine affecting an adult man, presenting limitations of cervical movements and neurological alterations during the clinical follow-up. The diagnosis was established through radiography and computed tomography; puncture biopsy was performed to rule out differential diagnoses. The patient was submitted to surgical procedure for resecting the tumor and the affected vertebrae, in addition to stabilizing the cervical spine. In this case, infusion of local intra operative corticoid was performed as a method of association to reduce the risk of relapse. The patient progressed satisfactorily, showing a significant improvement in the movement of the cervical spine and in the neurological picture, demonstrating efficacy in the Magerl surgical technique for stabilizing the cervical spine, and in the transoral approach for resecting the tumor of cervical involvement. We discuss the treatment of choice in relation to all the currently existing ones, and the evolution of this patient.

Keywords: Benign tumor; Bone cyst; Cervical spine; Surgical technique; Orthopedic care

List of Abbreviations: SAE: Selective Arterial Embolization; Et. al.: And others; CT: Computed Tomography