Skip to main content
Log in

Reconstruction with fascia lata allograft of the posterior vertebra elements after resection for aneurysmal bone cyst in a child

  • Ideas and Technical Innovations
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

We report a case of ABC in a child where, after resection of the posterior spinal column of L1, we did a biological reconstruction using a posterior tension band with a segment of fascia lata allograft in tension between T12 and L2. After the long term follow up, X-ray and MRI controls showed a satisfactory alignment of the spine and no local recurrence. The patient now has no sign of spinal instability or deviation, with no kind of discomfort or pain, and has a normal life. In our experience this biological tension band interferes minimally with the growth of the spine, and has a less number of complications in comparison with other more aggressive methods and so is a good option for restoring the stability in young patients with benign spinal tumors that arises on the posterior column without having any kind of potential deviations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Biagini R, Boriani S, Andreoli I et al (1994) Surgical technique: dorsal vertebral hemiresection for bone tumors. Chir Organi Mov 79(3):331–337

    PubMed  CAS  Google Scholar 

  2. Biagini R, Boriani S, Casadei C et al (1997) Reconstruction techniques in the treatment of vertebral neoplasm (review). Chir Organi Mov 82(4):341–355

    PubMed  CAS  Google Scholar 

  3. Biagini R, Casadei R, Boni F et al (2002) Spondylectomy (thoracolumbar spine) combined with dural resection for bone tumor: surgical technique. Chir Organi Mov 87(2):97–101

    PubMed  CAS  Google Scholar 

  4. Biagini R, Boriani S, Bandiera S et al (2003) Substitution in vertebral resections. Chir Organi Mov 88(2):185–191

    PubMed  CAS  Google Scholar 

  5. Boriani S, Biagini R, De Iure F et al (1996) En bloc resection of bone tumors of the thoracolumbar spine: a preliminary report on 29 patients. Spine 21(16):1927–1931

    Article  PubMed  CAS  Google Scholar 

  6. Boriani S, Weinstein JN, Biagini R (1997) Primary bone tumors of the spine: terminology and surgical staging (review). Spine 22(9):1036–1044

    Article  PubMed  CAS  Google Scholar 

  7. Boriani S, Biagini R, De Iure F et al (1998) Resection surgery in the treatment of vertebral tumors. Chir Organi Mov 83(1–2):53–64

    PubMed  CAS  Google Scholar 

  8. Boriani S, Bandiera S, Biagini R et al (1999) Staging and treatment of primary tumors of the spine. Curr Opin Orthop 10(2):93–100

    Article  Google Scholar 

  9. Boriani S, De Iure F, Campanacci M (2001) Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine 26(1):27–35

    Article  PubMed  CAS  Google Scholar 

  10. Campanacci M (1999) Bone and soft tissue tumors. Spinger, Heidelberg

    Google Scholar 

  11. Dahlin DC, Cupps R, Johnson EW Jr (1970) Giant-cell tumor: a study of 195 cases. Cancer 25:1061–1070

    Article  PubMed  CAS  Google Scholar 

  12. De Cristofaro R, Biagini R, Boriani S et al (1992) Selective arterial embolization in the treatment of aneurysmal bone cyst and angioma of bone. Skeletal Radiol 21:523–527

    Article  PubMed  Google Scholar 

  13. Enneking WF (1983) Musculoskeletal tumor surgery. Churchill Livingstone, New York

    Google Scholar 

  14. Jaffe HL (1953) Giant-cell tumour (osteoclastoma) of bone: its pathologic delimitation and the inherent clinical implications. Ann R Coll Surg Engl 13(6):343–355

    PubMed  CAS  Google Scholar 

  15. Papagelopoulus PJ, Peterson HA, Ebersold MJ et al (1997) Spinal column deformity and instability after lumbar and thoracolumbar laminectomy for intraspinal tumors in children and young adults. Spine 22:442–451

    Article  Google Scholar 

  16. Papagelopoulos PJ, Currier BL, Shaughnessy WJ et al (1998) Aneurysmal bone cyst of the spine. Management and outcome. Spine 23(5):621–628

    Article  PubMed  CAS  Google Scholar 

  17. Yasuoka S, Peterson HA, Laws ER Jr et al (1981) Pathogenesis and prophylaxis of postlaminectomy deformity of the spine after multiple level laminectomy: difference between children and adults. Neurosurgery 9:145–152

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Costantino Errani.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Errani, C., Schuster, S., Biagini, R. et al. Reconstruction with fascia lata allograft of the posterior vertebra elements after resection for aneurysmal bone cyst in a child. Eur Spine J 16, 1531–1535 (2007). https://doi.org/10.1007/s00586-007-0368-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-007-0368-0

Keywords

Navigation