Abstract
A 14-year-old boy presented with 2 months of persistent low back pain and right leg weakness after a baseball slide. Following an imaging work-up, a large cystic lesion was found in the upper sacrum, impinging upon the descending right sacral nerve roots, suggestive of an aneurysmal bone cyst. Given the patient’s presentation with a neurological deficit, he was expeditiously scheduled for surgical management. The day prior to surgery, selective embolization was performed to minimize possible intraoperative bleeding. Surgical decompression of the neural elements was followed by biopsy and intraoperative frozen section for diagnosis confirmation. The aneurysmal bone cyst was then excised, the cavity was ablated with a high-speed bur and electrocautery prior to bone grafting, and the involved spinal segment was stabilized. Postoperatively, the patient had improved pain and neurological function, and he remained free of recurrence 1 year following the index procedure.
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Woodward, C.C., Cahill, P., Arkader, A. (2017). Sacral Aneurysmal Bone Cyst. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_72-1
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DOI: https://doi.org/10.1007/978-3-319-28226-8_72-1
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