Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst.

Journal Article (Journal Article)

BACKGROUND: Aneurysmal bone cysts (ABCs) are rare blood-filled cystic lesions that are found in the long bones and spine. Here, we present a case of an ABC found in the lateral mass and lamina of C1. Lesions in this area provide a surgical challenge because of its difficulty to access as well as its need for reconstruction. We describe a novel use of intraoperative navigation (ION) to assist in the placement of a C1 lateral mass titanium cage. CASE DESCRIPTION: An 18-year-old female patient presented with headaches and progressive neck pain. Imaging revealed a large cystic lesion involving the C1 lamina and right lateral mass. The patient underwent ION-assisted aggressive intralesional resection of the ABC and reconstruction of the C1 lateral mass with a static titanium cage, supplemented with posterior fusion from the occiput to C3. At 2-year follow-up, there was no evidence of recurrence and the hardware remained intact. CONCLUSIONS: ION is a useful aid in assessing the extent of tumor resection and performing cage reconstruction of the C1 lateral mass.

Full Text

Duke Authors

Cited Authors

  • Neva, J; Smith, BW; Joseph, JR; Park, P

Published Date

  • June 2017

Published In

Volume / Issue

  • 102 /

Start / End Page

  • 693.e21 - 693.e27

PubMed ID

  • 28408261

Electronic International Standard Serial Number (EISSN)

  • 1878-8769

Digital Object Identifier (DOI)

  • 10.1016/j.wneu.2017.04.010


  • eng

Conference Location

  • United States