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

Publication ,  Journal Article
Neva, J; Smith, BW; Joseph, JR; Park, P
Published in: World Neurosurg
June 2017

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.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

693.e21 / 693.e27

Location

United States

Related Subject Headings

  • Neuronavigation
  • Neck Pain
  • Intraoperative Care
  • Humans
  • Headache Disorders
  • Female
  • Cervical Vertebrae
  • Bone Cysts, Aneurysmal
  • Adolescent
  • 3209 Neurosciences
 

Citation

APA
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ICMJE
MLA
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Neva, J., Smith, B. W., Joseph, J. R., & Park, P. (2017). Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst. World Neurosurg, 102, 693.e21-693.e27. https://doi.org/10.1016/j.wneu.2017.04.010
Neva, Jennifer, Brandon W. Smith, Jacob R. Joseph, and Paul Park. “Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst.World Neurosurg 102 (June 2017): 693.e21-693.e27. https://doi.org/10.1016/j.wneu.2017.04.010.
Neva J, Smith BW, Joseph JR, Park P. Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst. World Neurosurg. 2017 Jun;102:693.e21-693.e27.
Neva, Jennifer, et al. “Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst.World Neurosurg, vol. 102, June 2017, pp. 693.e21-693.e27. Pubmed, doi:10.1016/j.wneu.2017.04.010.
Neva J, Smith BW, Joseph JR, Park P. Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst. World Neurosurg. 2017 Jun;102:693.e21-693.e27.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

693.e21 / 693.e27

Location

United States

Related Subject Headings

  • Neuronavigation
  • Neck Pain
  • Intraoperative Care
  • Humans
  • Headache Disorders
  • Female
  • Cervical Vertebrae
  • Bone Cysts, Aneurysmal
  • Adolescent
  • 3209 Neurosciences