Stories about: spine

Challenging case: ABC tumor of the cervical spine

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The case

After sustaining an apparent neck injury during a routine soccer fall, a 12-year-old presented to a local hospital emergency room. An MRI was ordered and indicated an aneurysmal bone cyst (ABC) tumor in her cervical spine.

The patient was transferred from the local emergency room to the Boston Children’s Hospital Emergency Department.

A CT confirmed the original diagnosis and showed a fracture and erosion of her C-5 vertebra.

Guidelines for ABC tumors in long bones often recommend sclerotherapy prior to surgery. Initially, one recommendation was that the patient undergo sclerotherapy to shrink the tumor, and then undergo surgery to remove the remaining tumor in the future.

The patient was extremely active and eager to have surgery and begin rehabilitation. Her family asked for other options. …Read More